Sierra, Jose Javier
Sierra, Jose Javier is an sole proprietor health care provider with primary practice located at 8530 Suburban Dr. , Orlando FL 32825. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sierra, Jose Javier can be contacted via phone (407) 482-7500.Contact Information
Primary practice address
8530 Suburban Dr.
Orlando FL 32825
Phone: (407) 482-7500
Fax: (407) 482-7575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 9319 | Florida |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180005069 | Illinois |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MT 2284 | Florida |
Profile Details
| NPI number | 1396731378 |
|---|---|
| LBN Legal business name | Sierra, Jose Javier |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Sep 30th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396731378 | NPPES |
| Illinois | Other | 364333972 | TAX IDENTIFICATION NO. |
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