Provider Demographics
NPI:1659570711
Name:SINGLETON, TIERA Y (BS)
Entity Type:Individual
Prefix:MISS
First Name:TIERA
Middle Name:Y
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:TIERA
Other - Middle Name:Y
Other - Last Name:SINGLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:660 PARK ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-2933
Mailing Address - Country:US
Mailing Address - Phone:904-899-6300
Mailing Address - Fax:904-899-6380
Practice Address - Street 1:660 PARK ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-2933
Practice Address - Country:US
Practice Address - Phone:904-899-6300
Practice Address - Fax:904-899-6380
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker