Provider Demographics
NPI:1962749663
Name:PEARCE, CATHERINE FRASIER (SLP)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:FRASIER
Last Name:PEARCE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:LEE
Other - Last Name:FRASIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:162 CREEKS XING
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-1764
Mailing Address - Country:US
Mailing Address - Phone:318-267-6944
Mailing Address - Fax:225-275-0930
Practice Address - Street 1:11140 N HARRELLS FERRY RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8307
Practice Address - Country:US
Practice Address - Phone:225-926-1838
Practice Address - Fax:225-275-0930
Is Sole Proprietor?:No
Enumeration Date:2013-01-15
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6683235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist