Provider Demographics
NPI:1568113504
Name:DAYTON, SIERRA CAITLIN (MED, RESIDENT)
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:CAITLIN
Last Name:DAYTON
Suffix:
Gender:F
Credentials:MED, RESIDENT
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:CAITLIN
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, RESIDENT
Mailing Address - Street 1:5402 LANE PLACE DR APT D
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1965
Mailing Address - Country:US
Mailing Address - Phone:757-778-9175
Mailing Address - Fax:
Practice Address - Street 1:5402 LANE PLACE DR APT D
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-1965
Practice Address - Country:US
Practice Address - Phone:757-778-9175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-11
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704014064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health