Provider Demographics
NPI:1245588805
Name:PIERRE, DOROTHY
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DOROTHY
Other - Middle Name:
Other - Last Name:PIERRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BA
Mailing Address - Street 1:19821 NW 2ND AVE
Mailing Address - Street 2:# 231
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-3055
Mailing Address - Country:US
Mailing Address - Phone:786-973-1997
Mailing Address - Fax:305-779-9601
Practice Address - Street 1:19821 NW 2ND AVE
Practice Address - Street 2:# 231
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-3055
Practice Address - Country:US
Practice Address - Phone:786-973-1997
Practice Address - Fax:305-779-9601
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical