Provider Demographics
NPI:1497926000
Name:DEAN-PIERCE, PAULETTE (MS)
Entity Type:Individual
Prefix:MRS
First Name:PAULETTE
Middle Name:
Last Name:DEAN-PIERCE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6931 N 100TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53224-4519
Mailing Address - Country:US
Mailing Address - Phone:414-760-1379
Mailing Address - Fax:
Practice Address - Street 1:6931 N 100TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53224-4519
Practice Address - Country:US
Practice Address - Phone:414-760-1379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-23
Last Update Date:2008-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral