Healthcare Provider Details

I. General information

NPI: 1336605302
Provider Name (Legal Business Name): DEBRA L PIERRE PH.D. IN PSYCHOLOGY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 3RD AVE S
ESCANABA MI
49829-1258
US

IV. Provider business mailing address

312 WALDO ST
MARQUETTE MI
49855-2815
US

V. Phone/Fax

Practice location:
  • Phone: 906-786-9300
  • Fax:
Mailing address:
  • Phone: 906-250-4771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301008685
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number6801035926
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: