Provider Demographics
NPI:1437584604
Name:KIERCE, EMILY N (PSYD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:N
Last Name:KIERCE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W BROADWAY STE 1925
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-8505
Mailing Address - Country:US
Mailing Address - Phone:619-930-9060
Mailing Address - Fax:619-930-9060
Practice Address - Street 1:402 W BROADWAY STE 1925
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-8505
Practice Address - Country:US
Practice Address - Phone:619-930-9060
Practice Address - Fax:619-930-9060
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY31489103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical