Provider Demographics
NPI:1588975189
Name:PIERCE, PAM MESKER (LMSW)
Entity type:Individual
Prefix:
First Name:PAM
Middle Name:MESKER
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10321 VAN DYKE RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-1002
Mailing Address - Country:US
Mailing Address - Phone:214-342-0070
Mailing Address - Fax:
Practice Address - Street 1:8222 DOUGLAS AVE
Practice Address - Street 2:STE. 375
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5923
Practice Address - Country:US
Practice Address - Phone:214-905-5090
Practice Address - Fax:214-905-1998
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical