Provider Demographics
NPI:1124785621
Name:PIERCE, JOSEPH HAROLD JR (MS, CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:HAROLD
Last Name:PIERCE
Suffix:JR
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 TIERRA NEVADA DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79938-4750
Mailing Address - Country:US
Mailing Address - Phone:915-588-7465
Mailing Address - Fax:
Practice Address - Street 1:12860 TIERRA SONORA
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79938-4359
Practice Address - Country:US
Practice Address - Phone:915-588-7465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101543235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist