Individual
CARRIE J PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
33C LEDGEWOOD DR, HAMPDEN, ME 04444-1025
(866) 905-4483
(207) 862-2029
Mailing address
33C LEDGEWOOD DR, HAMPDEN, ME 04444-1025
(866) 905-4483
(207) 862-2029
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30973
CDS
ME
05
—
431784900
—
ME
Enumeration date
05/29/2009
Last updated
05/29/2009
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