Provider Demographics
NPI:1972123016
Name:PIERCE, KATHARINE EMMA (MS-CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:EMMA
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:EMMA
Other - Last Name:BICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS-CCC-SLP
Mailing Address - Street 1:1649 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TENNESSEE RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37178-4006
Mailing Address - Country:US
Mailing Address - Phone:615-415-9552
Mailing Address - Fax:
Practice Address - Street 1:437 HENSLEE DR
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2166
Practice Address - Country:US
Practice Address - Phone:615-326-0326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-18
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000004281235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist