1790960391 NPI number — MRS. BARBARA JEAN PIERCE MA CCCSLP

Table of content: MRS. BARBARA JEAN PIERCE MA CCCSLP (NPI 1790960391)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790960391 NPI number — MRS. BARBARA JEAN PIERCE MA CCCSLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PIERCE
Provider First Name:
BARBARA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA CCCSLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VAHCIC PIERCE
Provider Other First Name:
BARBARA
Provider Other Middle Name:
JEAN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1790960391
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
A104 MUSIC AND SPEECH BUILDING
Provider Second Line Business Mailing Address:
KENT STATE UNIVERSITY
Provider Business Mailing Address City Name:
KENT
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44242-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-672-2672
Provider Business Mailing Address Fax Number:
330-672-2643

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
A104 MUSIC AND SPEECH BUILDING
Provider Second Line Business Practice Location Address:
KENT STATE UNIVERSITY
Provider Business Practice Location Address City Name:
KENT
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-672-2672
Provider Business Practice Location Address Fax Number:
330-672-2643
Provider Enumeration Date:
01/02/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SP2276 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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