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NPI Code Detail

MEDICARE: DR. JANET B PIERUCCI PH D

MEDICARE:  DR. JANET B PIERUCCI  PH D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY12731CA

General Provider Information

NPI Number : 1366447229
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET B PIERUCCI PH D
Provider Business Mailing Address
First Line : 146 SAN JOSE CT
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93405-1532
Country : US
Telephone Number : 805-845-8989
Fax Number : 805-544-0863
Provider Business Practice Location Address
First Line : 5901 ENCINA RD STE A
Second Line :
City : GOLETA
State : CA
Zip : 93117-2270
Country : US
Telephone Number : 805-845-8989
Fax Number : 805-544-0863
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/30/2010

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Directions to “ DR. JANET B PIERUCCI PH D” Practice Location

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