Provider Demographics
NPI:1619349644
Name:PIERCE, JORDYN ANN SIMS (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JORDYN
Middle Name:ANN SIMS
Last Name:PIERCE
Suffix:
Gender:F
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 1:150 PITTSFIELD RD STE I
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2471
Mailing Address - Country:US
Mailing Address - Phone:413-200-8116
Mailing Address - Fax:
Practice Address - Street 1:150 PITTSFIELD RD STE I
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2471
Practice Address - Country:US
Practice Address - Phone:650-823-8902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9467235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist