Provider Demographics
NPI:1326175647
Name:PIERCE, SHARON ELIZABETH
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ELIZABETH
Last Name:PIERCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ELIZABETHE
Other - Last Name:PENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3405 MIDDLETON AVE
Mailing Address - Street 2:APT. 75
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-1697
Mailing Address - Country:US
Mailing Address - Phone:513-221-1865
Mailing Address - Fax:
Practice Address - Street 1:3405 MIDDLETON AVE
Practice Address - Street 2:APT. 75
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-1697
Practice Address - Country:US
Practice Address - Phone:513-221-1865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker