Provider Demographics
NPI:1619319050
Name:ZWILLING, SIERRA (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:SIERRA
Middle Name:
Last Name:ZWILLING
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4207 CHAMPIONS CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-2893
Mailing Address - Country:US
Mailing Address - Phone:812-719-0945
Mailing Address - Fax:
Practice Address - Street 1:500 PROFESSIONAL PARK DR
Practice Address - Street 2:SUITE B
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-2168
Practice Address - Country:US
Practice Address - Phone:615-855-2285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8202157235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist