| Doctor Name: | SANDRA S SIEMENS |
| NPI Number: | 1013019165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | 05802 |
| Business Practice Address: | 2435 Kimberly Rd Suite 155 Bettendorf, IA - 527223509 |
| Business Phone Number: | 5633597625 |
| Business Fax Number: | 5634590494 |
| Mailing Address: | 714 27th St, BETTENDORF |
| State: | IA |
| Postal Code: | 527225107 |
| Phone Number: | 5633447935 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 05802 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |