Provider Demographics
NPI:1578952214
Name:PIERICK, ALLISON JOY
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:JOY
Last Name:PIERICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 REMSEN ST
Mailing Address - Street 2:APT 6H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4213
Mailing Address - Country:US
Mailing Address - Phone:949-632-5972
Mailing Address - Fax:
Practice Address - Street 1:100 REMSEN ST
Practice Address - Street 2:APT 6H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4213
Practice Address - Country:US
Practice Address - Phone:949-632-5972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist