Sidney, Larry E

Sidney, Larry E is an individual health care provider with primary practice located at 3101 Broadway St Suite 230, Kansas City MO 64111-2659. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Sidney, Larry E can be contacted via phone (816) 531-2900.

Contact Information

Primary practice address
3101 Broadway St Suite 230 Kansas City MO 64111-2659
Fax: (816) 531-2901
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 000729 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 003878 Missouri

Profile Details

NPI number 1215995790
LBN Legal business name Sidney, Larry E
Credentials MA, LPC, NCC, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1215995790 NPPES
Missouri Other 127826 NEW DIRECTIONS BEHAVIORAL
Missouri Other 28784029 NEW DIRECTIONS BEHAVIORAL

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