Provider Demographics
NPI:1619600756
Name:SUN, SIENA XIAOLE (PHD, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:SIENA
Middle Name:XIAOLE
Last Name:SUN
Suffix:
Gender:F
Credentials:PHD, SLP-CCC
Other - Prefix:
Other - First Name:XIAOLE
Other - Middle Name:
Other - Last Name:SUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1345 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5964
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1380 ENTERPRISE DR STE 200
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5990
Practice Address - Country:US
Practice Address - Phone:215-293-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist