Provider Demographics
NPI:1285907691
Name:HILLEBRAND, SIERRA C (LLP)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:C
Last Name:HILLEBRAND
Suffix:
Gender:F
Credentials:LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 PLYMOUTH RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9559
Mailing Address - Country:US
Mailing Address - Phone:734-330-3494
Mailing Address - Fax:
Practice Address - Street 1:5340 PLYMOUTH RD STE 210
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9559
Practice Address - Country:US
Practice Address - Phone:734-330-3494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175M00000X
MI6301014066103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No175M00000XOther Service ProvidersMidwife, Lay