Provider Demographics
NPI:1225557317
Name:DOWNS, SIERRA CAROLEEN (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:SIERRA
Middle Name:CAROLEEN
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-7704
Mailing Address - Country:US
Mailing Address - Phone:802-230-4650
Mailing Address - Fax:802-448-5957
Practice Address - Street 1:100 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-7704
Practice Address - Country:US
Practice Address - Phone:802-230-4650
Practice Address - Fax:802-448-5957
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTL-2970235Z00000X
VT1440134141235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist