Individual
MS. TISHA GAY PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
217 E CHERRY AVE, JONESBORO, AR 72401-3372
(870) 932-5551
(870) 932-5552
Mailing address
895 POWERS BLVD, WAVERLY, TN 37185-1018
(870) 219-2209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 1636
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W133
AR BLUE CROSS
AR
Enumeration date
11/05/2007
Last updated
06/14/2016
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