Provider Demographics
NPI:1821504663
Name:PIERCE, SHARON MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIE
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 1:3201 MORNINGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40242-2504
Mailing Address - Country:US
Mailing Address - Phone:502-432-5851
Mailing Address - Fax:502-432-5851
Practice Address - Street 1:7504 WESTPORT RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-4108
Practice Address - Country:US
Practice Address - Phone:502-736-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY167102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist