Provider Demographics
NPI:1437331717
Name:PIERSON, STEPHEN MORSE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:MORSE
Last Name:PIERSON
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4257
Mailing Address - Country:US
Mailing Address - Phone:802-860-4713
Mailing Address - Fax:
Practice Address - Street 1:83 ROSE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4257
Practice Address - Country:US
Practice Address - Phone:802-860-4713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTN/A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist