Provider Demographics
NPI:1386412047
Name:SIERRA, TIARA ROMAN (LPC)
Entity type:Individual
Prefix:
First Name:TIARA
Middle Name:ROMAN
Last Name:SIERRA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3214 WHITNEY CT
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1933
Mailing Address - Country:US
Mailing Address - Phone:267-752-4505
Mailing Address - Fax:
Practice Address - Street 1:3214 WHITNEY CT
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1933
Practice Address - Country:US
Practice Address - Phone:267-752-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015703101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional