Carolyn W Sidereas in Rockwall - Professional
Carolyn W Sidereas - NPI 1790779726
Carolyn W Sidereas is a Professional in Rockwall, Texas. Carolyn W Sidereas practices all healthcare services and medical treatments related to Professional. The NPI Number for Carolyn W Sidereas is 1790779726. The last update date is 2007-07-08.
Carolyn W Sidereas's current location address is 2237 Ridge Rd, Rockwall, Texas. You can contact this provider via phone number 9727713969 and fax number 9727718258. The mailing address for Carolyn W Sidereas is 2237 Ridge Rd, Rockwall, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn W Sidereas |
|---|---|
| Address | 2237 Ridge Rd, Rockwall, Texas |
| Phone Number | 9727713969 |
| Fax Number | 9727718258 |
| Sole Proprietor | X |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1790779726 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2237 Ridge Rd |
|---|---|
| City | Rockwall |
| State | Texas (TX) |
| Post Code | 750875164 |
| Phone Number | 9727713969 |
| Fax Number | 9727718258 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 17879 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17879 | TX | LPC LICENSE# |
Post Comment/ Review Below
What is the unique identifier code issued to Carolyn W Sidereas by the Centers for Medicare & Medicaid Services?
The Carolyn W Sidereas has been assigned the NPI (National Provider Identifier) 1790779726. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Carolyn W Sidereas is located?
The Carolyn W Sidereas is situated at the following address: 2237 Ridge Rd, Rockwall, TX, 750875164.
What is the area of specialization for Carolyn W Sidereas, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Carolyn W Sidereas is Professional, and the corresponding taxonomy code that categorizes this area of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790779726 to Carolyn W Sidereas?
The Centers for Medicare & Medicaid Services originally issued the 1790779726 to Carolyn W Sidereas on 2005-09-06.
When was the information pertaining to Carolyn W Sidereas most recently updated or revised?
The details related to Carolyn W Sidereas, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.