Provider Demographics
NPI:1730828583
Name:PIERCE, BONNIE ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:ANN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:BONNIE
Other - Middle Name:ANN
Other - Last Name:PURTILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:30 W COLE RD
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9453
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30 W COLE RD
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9453
Practice Address - Country:US
Practice Address - Phone:207-284-6673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP3728231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist