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:
Health care specialties
Specialty | Code | License # | 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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