Individual
SUSAN GAYLE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1017 DUPONT ROAD, LOUISVILLE, KY 40207
(502) 365-4467
Mailing address
1017 DUPONT ROAD, LOUISVILLE, KY 40207-1065
(502) 365-4467
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
02/05/2024
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