Provider Demographics
NPI:1740024389
Name:SCHOEN, CIERRA ROSE
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:ROSE
Last Name:SCHOEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14213 103RD AVENUE CT E APT C104
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-3840
Mailing Address - Country:US
Mailing Address - Phone:253-254-2783
Mailing Address - Fax:
Practice Address - Street 1:4407 2ND ST SW
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3726
Practice Address - Country:US
Practice Address - Phone:253-737-5078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral