Provider Demographics
NPI:1629955919
Name:PIERCEFIELD, MACY IRENE
Entity type:Individual
Prefix:
First Name:MACY
Middle Name:IRENE
Last Name:PIERCEFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 E LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:IL
Mailing Address - Zip Code:62450-1719
Mailing Address - Country:US
Mailing Address - Phone:618-838-9217
Mailing Address - Fax:
Practice Address - Street 1:1021 13TH ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:IL
Practice Address - Zip Code:61920-2906
Practice Address - Country:US
Practice Address - Phone:217-639-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL14403900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist