Healthcare Provider Details

I. General information

NPI: 1285571950
Provider Name (Legal Business Name): MS. SIERRA QUINN KALOUSTIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1163 E 7TH ST
CHICO CA
95928-5903
US

IV. Provider business mailing address

1163 E 7TH ST
CHICO CA
95928-5903
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-3110
  • Fax:
Mailing address:
  • Phone: 530-891-3110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: