Provider Demographics
NPI:1205083508
Name:PIERCE, MELANIE BETH (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:BETH
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 1:2A MEDINA WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71909-4307
Mailing Address - Country:US
Mailing Address - Phone:501-922-3497
Mailing Address - Fax:
Practice Address - Street 1:7900 HIGHWAY 7 NORTH
Practice Address - Street 2:JESSIEVILLE SCHOOL
Practice Address - City:JESSIEVILLE
Practice Address - State:AR
Practice Address - Zip Code:71949
Practice Address - Country:US
Practice Address - Phone:501-984-4216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR585235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist