Healthcare Provider Details

I. General information

NPI: 1538177266
Provider Name (Legal Business Name): CHRISTOPHER A PIERCE PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

777 BANNOCK ST MC 3450
DENVER CO
80204-4507
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-4772
  • Fax: 303-436-3327
Mailing address:
  • Phone: 303-436-6342
  • Fax: 303-436-3327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2643
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number2643
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: