Lawrence Mark Sideman in Phoenix - Addiction (substance Use Disorder)
Lawrence Mark Sideman - NPI 1275650749
Lawrence Mark Sideman is a Addiction (substance Use Disorder) in Phoenix, Arizona. Lawrence Mark Sideman practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lawrence Mark Sideman is 1275650749. The last update date is 2007-07-08.
Lawrence Mark Sideman's current location address is 10269 N Central Ave, Phoenix, Arizona. You can contact this provider via phone number 6026771206. The mailing address for Lawrence Mark Sideman is 10269 N Central Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Mark Sideman |
|---|---|
| Address | 10269 N Central Ave, Phoenix, Arizona |
| Phone Number | 6026771206 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1275650749 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10269 N Central Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850201051 |
| Phone Number | 6026771206 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 10540 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the Lawrence Mark Sideman's 1275650749?
The Lawrence Mark Sideman's NPI (National Provider Identifier) Number is 1275650749. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lawrence Mark Sideman?
The Lawrence Mark Sideman is physically situated at 10269 N Central Ave, in the city of Phoenix, state of AZ, with the postal code 850201051.
What is Lawrence Mark Sideman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lawrence Mark Sideman is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the Lawrence Mark Sideman receive its 1275650749 assignment from the Centers for Medicare & Medicaid Services?
The Lawrence Mark Sideman was assigned its 1275650749 by the Centers for Medicare & Medicaid Services on 2007-03-22.
As of what date were the Lawrence Mark Sideman's details last updated?
The information pertaining to the Lawrence Mark Sideman, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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