Provider Demographics
NPI:1598327363
Name:PIERCE, EMILY ANNE (MCD, CF-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MCD, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 AMESBURY DR APT 1210
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-0008
Mailing Address - Country:US
Mailing Address - Phone:318-469-6146
Mailing Address - Fax:
Practice Address - Street 1:1803 E US HIGHWAY 243
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-4118
Practice Address - Country:US
Practice Address - Phone:972-932-7776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty