Provider Demographics
NPI:1316540081
Name:BARNETT-HALL, SIERRA (PSYD)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:BARNETT-HALL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:
Other - Last Name:BARNETT-HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:41 DEN MAR DR
Mailing Address - Street 2:
Mailing Address - City:HOLTWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:17532-9677
Mailing Address - Country:US
Mailing Address - Phone:301-643-7474
Mailing Address - Fax:
Practice Address - Street 1:513 W CHOCOLATE AVE STE 100
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-1632
Practice Address - Country:US
Practice Address - Phone:717-810-1974
Practice Address - Fax:717-704-8476
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019155103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist