Provider Demographics
NPI:1376766048
Name:PIERSON-WARD, SYLVIA ANN (MED)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:ANN
Last Name:PIERSON-WARD
Suffix:
Gender:F
Credentials:MED
Other - Prefix:MRS
Other - First Name:SYLVIA
Other - Middle Name:ANN
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3300 GUS THOMASSON RD
Mailing Address - Street 2:STE 201
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4059
Mailing Address - Country:US
Mailing Address - Phone:972-288-8779
Mailing Address - Fax:972-288-8779
Practice Address - Street 1:3300 GUS THOMASSON RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4059
Practice Address - Country:US
Practice Address - Phone:972-288-8779
Practice Address - Fax:972-288-8779
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66712101YM0800X, 101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX683295OtherVALUEOPTIONS/NORTHSTAR