Provider Demographics
NPI:1124860267
Name:FRIEND, SIERRA ELIZABETH (AUD)
Entity type:Individual
Prefix:DR
First Name:SIERRA
Middle Name:ELIZABETH
Last Name:FRIEND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:ELIZABETH
Other - Last Name:NIESEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1202 REGINA ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-1526
Mailing Address - Country:US
Mailing Address - Phone:503-707-6061
Mailing Address - Fax:
Practice Address - Street 1:912 WALNUT HILL DR
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-5052
Practice Address - Country:US
Practice Address - Phone:903-291-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist