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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396731378 NPPES
Illinois Other 364333972 TAX IDENTIFICATION NO.

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