Provider Demographics
NPI:1871790758
Name:ROSA-SIERRA, CATHERINE SR (MS)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:ROSA-SIERRA
Suffix:SR
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8885 W THUNDERBIRD RD
Mailing Address - Street 2:# 2130
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-3648
Mailing Address - Country:US
Mailing Address - Phone:602-271-4500
Mailing Address - Fax:602-282-0102
Practice Address - Street 1:2346 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004-1329
Practice Address - Country:US
Practice Address - Phone:602-271-4500
Practice Address - Fax:602-282-0102
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor