Provider Demographics
NPI:1750795647
Name:JAMES W. PIER, PH.D., LLC
Entity type:Organization
Organization Name:JAMES W. PIER, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:PIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-272-6007
Mailing Address - Street 1:700 WEST JOHNSON AVE.
Mailing Address - Street 2:SUITE #310
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410
Mailing Address - Country:US
Mailing Address - Phone:203-272-6007
Mailing Address - Fax:203-272-8895
Practice Address - Street 1:700 WEST JOHNSON AVE.
Practice Address - Street 2:SUITE #310
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410
Practice Address - Country:US
Practice Address - Phone:203-272-6007
Practice Address - Fax:203-272-8895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty