Provider Demographics
NPI:1669538781
Name:PIERCE, CHERYL DENISE (PHD, MSW)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENISE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 WILLIAM PENN HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2531
Mailing Address - Country:US
Mailing Address - Phone:412-731-2113
Mailing Address - Fax:
Practice Address - Street 1:320 FORT DUQUESNE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-1121
Practice Address - Country:US
Practice Address - Phone:412-391-0543
Practice Address - Fax:412-391-0543
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005862L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA644054OtherBLUE CROSS BLUE SHIELD
PA644054Medicare ID - Type Unspecified