Healthcare Provider Details

I. General information

NPI: 1073901534
Provider Name (Legal Business Name): SIERRAH DANIELLE KNORP LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SIERRAH DANIELLE POOLE

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10350 E DAKOTA AVE
DENVER CO
80247-1314
US

IV. Provider business mailing address

10350 E DAKOTA AVE
DENVER CO
80247-1314
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone: 303-338-4545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLPC.0013036
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2846
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: