Pierson, Connie R

Pierson, Connie R is an individual health care provider with primary practice located at 105 Windsor Path Suite 3, Georgetown KY 40324-9617. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Pierson, Connie R can be contacted via phone (859) 588-3709.

Contact Information

Primary practice address
105 Windsor Path Suite 3 Georgetown KY 40324-9617
Phone: (859) 588-3709
Fax: (502) 603-0622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 142321 Kentucky
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0868 Kentucky

Profile Details

NPI number 1972949139
LBN Legal business name Pierson, Connie R
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2013
Last updated Mar 3rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972949139 NPPES
Kentucky MEDICAID 7100270860
Kentucky Other 000000818511

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