Provider Demographics
NPI:1275059255
Name:PIERCE, ROSE MARIE (SLP)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:MARIE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:BRAGGADOCIO
Mailing Address - State:MO
Mailing Address - Zip Code:63826-0217
Mailing Address - Country:US
Mailing Address - Phone:573-757-6938
Mailing Address - Fax:
Practice Address - Street 1:20 CHARGER LANE
Practice Address - Street 2:
Practice Address - City:DEERING
Practice Address - State:MO
Practice Address - Zip Code:63840-6384
Practice Address - Country:US
Practice Address - Phone:573-757-6615
Practice Address - Fax:573-757-6201
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-21
Last Update Date:2017-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist