Sideman, Lawrence Mark

Sideman, Lawrence Mark is an sole proprietor health care provider with primary practice located at 10269 N Central Ave , Phoenix AZ 85020-1051. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Sideman, Lawrence Mark can be contacted via phone (602) 677-1206.

Contact Information

Primary practice address
10269 N Central Ave Phoenix AZ 85020-1051
Phone: (602) 677-1206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10540 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X 11790 Arizona
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3015 Arizona

Profile Details

NPI number 1275650749
LBN Legal business name Sideman, Lawrence Mark
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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