MEDICARE: MISS JENNIFER SHIER

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1134508534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNIFER SHIER

Provider Business Mailing Address
First Line	:	3601 E 11 MILE RD STE C
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48092-2878
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 E 11 MILE RD STE C
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48092-2878
Country	:	US
Telephone Number	:	586-250-2271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2015
Last Update Date	:	02/04/2021

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Directions to “ MISS JENNIFER SHIER ” Practice Location

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