Provider Demographics
NPI:1275880437
Name:PIERCY, SIRRENA JEAN (PSYD, HSPP)
Entity Type:Individual
Prefix:DR
First Name:SIRRENA
Middle Name:JEAN
Last Name:PIERCY
Suffix:
Gender:F
Credentials:PSYD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 N COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IN
Mailing Address - Zip Code:46041-1635
Mailing Address - Country:US
Mailing Address - Phone:765-670-6480
Mailing Address - Fax:765-670-6482
Practice Address - Street 1:357 N COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IN
Practice Address - Zip Code:46041-1635
Practice Address - Country:US
Practice Address - Phone:765-670-6480
Practice Address - Fax:765-670-6482
Is Sole Proprietor?:No
Enumeration Date:2012-08-07
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042797A103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical