Provider Demographics
NPI:1508821075
Name:JARONSKI, ANN TIERNEY (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:TIERNEY
Last Name:JARONSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE UNIVERSITY PLAZA
Mailing Address - Street 2:YOUNGSTOWN STATE UNIVERSITY STUDENT COUNSELING
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44555
Mailing Address - Country:US
Mailing Address - Phone:330-941-4731
Mailing Address - Fax:
Practice Address - Street 1:1 FLETCHER DRIVE
Practice Address - Street 2:SHCC, RM 245
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-7500
Practice Address - Country:US
Practice Address - Phone:352-392-1171
Practice Address - Fax:352-846-1030
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6057103T00000X
OH7435103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist