Provider Demographics
NPI:1548626906
Name:FIERRO, SANDRA CAROLINA (LPC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:CAROLINA
Last Name:FIERRO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2085 SUNSET LAKE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520
Mailing Address - Country:US
Mailing Address - Phone:956-551-0836
Mailing Address - Fax:
Practice Address - Street 1:4925 GREENVILLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-0500
Practice Address - Country:US
Practice Address - Phone:956-551-0836
Practice Address - Fax:956-621-3689
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-14
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68897103G00000X, 101YP2500X, 103G00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist