1326366824 NPI number — HEATHER HANSON PIERCE PH.D., M.S.

Table of content: HEATHER HANSON PIERCE PH.D., M.S. (NPI 1326366824)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326366824 NPI number — HEATHER HANSON PIERCE PH.D., M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PIERCE
Provider First Name:
HEATHER
Provider Middle Name:
HANSON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PH.D., M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326366824
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/07/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 ROSE ST
Provider Second Line Business Mailing Address:
WHITNEY-HENDRICKSON BLDG. ROOM 177
Provider Business Mailing Address City Name:
LEXINGTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40536-0098
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
859-323-6252
Provider Business Mailing Address Fax Number:
859-257-5865

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 ROSE ST
Provider Second Line Business Practice Location Address:
WHITNEY-HENDRICKSON BLDG. ROOM 177
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-6252
Provider Business Practice Location Address Fax Number:
859-257-5865
Provider Enumeration Date:
05/07/2010

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: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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