Healthcare Provider Details

I. General information

NPI: 1285907691
Provider Name (Legal Business Name): SIERRA C. HILLEBRAND LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2012
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5340 PLYMOUTH RD STE 210
ANN ARBOR MI
48105-9559
US

IV. Provider business mailing address

5340 PLYMOUTH RD STE 210
ANN ARBOR MI
48105-9559
US

V. Phone/Fax

Practice location:
  • Phone: 734-330-3494
  • Fax:
Mailing address:
  • Phone: 734-330-3494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301014066
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: