MEDICARE: CATHERINE H PIERCY LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	P9906011	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5X626	OTHER	AR	BLUE SHIELD PROVIDER#

General Provider Information

NPI Number	:	1376581348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE H PIERCY LPC

Provider Business Mailing Address
First Line	:	2400 S. 48TH STREET
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72762
Country	:	US
Telephone Number	:	479-750-2020
Fax Number	:	479-750-8967

Provider Business Practice Location Address
First Line	:	1104 N. COLLEGE
Second Line	:
City	:	HUNTSVILLE
State	:	AR
Zip	:	72740
Country	:	US
Telephone Number	:	479-725-5224
Fax Number	:	479-750-8967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	06/06/2011

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Directions to “ CATHERINE H PIERCY LPC” Practice Location

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