Provider Demographics
NPI:1891301180
Name:SIERS, CHANDLER LITTLETON
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:LITTLETON
Last Name:SIERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12404 SEA OAKS LN UNIT 5
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-3058
Mailing Address - Country:US
Mailing Address - Phone:443-235-7909
Mailing Address - Fax:
Practice Address - Street 1:12404 SEA OAKS LN UNIT 5
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-3058
Practice Address - Country:US
Practice Address - Phone:443-235-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-22
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist