Individual
AMY PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5165 CANAL ST, MILTON, FL 32570-2256
(850) 623-4054
(850) 623-4987
Mailing address
3358 INDIAN HILLS DR, PACE, FL 32571-8728
(850) 994-8424
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
005163
GA
235Z00000X
Speech-Language Pathologist
Primary
SA 8838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005163
LICENSE NUMBER
GA
01
—
SA8838
SLP STATE LICENSE
FL
Enumeration date
11/09/2006
Last updated
07/08/2007
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