Individual
SUZANNE K PIERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3103
Mailing address
1 CHILDRENS PL, STE 3N-14, SAINT LOUIS, MO 63110-1002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042142A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200842800
—
IN
Enumeration date
12/01/2006
Last updated
11/05/2021
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