Doctor Name: | MRS. ELIZABETH ANN PIERSON |
NPI Number: | 1114080660 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW PCSW |
License Number: | 569 |
Business Practice Address: | 405 W Boxelder Rd Suite A1 Gillette, WY - 827185320 |
Business Phone Number: | 3076867779 |
Business Fax Number: | |
Mailing Address: | 4418 Doud Drive, GILLETTE |
State: | WY |
Postal Code: | 82718 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |