Provider Demographics
NPI:1962175364
Name:SCHREIBER, SIERRA S
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:S
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:S
Other - Last Name:TOOMEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:836 ADAMS RD NE
Mailing Address - Street 2:
Mailing Address - City:KALKASKA
Mailing Address - State:MI
Mailing Address - Zip Code:49646-9681
Mailing Address - Country:US
Mailing Address - Phone:989-390-6074
Mailing Address - Fax:
Practice Address - Street 1:940 N CENTER AVE
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-9318
Practice Address - Country:US
Practice Address - Phone:989-619-1975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician