LAWRENCE MARK SIDEMAN

PHOENIX, AZ
NPI1275650749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  10540)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: AZ  11790)
103TC0700X Psychologist, Clinical
(Licence: AZ  3015)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
Dr. LAWRENCE MARK SIDEMAN Ph.D.
10269 N CENTRAL AVE
PHOENIX, AZ 85020-1051
Phone number: 602-677-1206
Mailing Address
Dr. LAWRENCE MARK SIDEMAN Ph.D.
10269 N CENTRAL AVE
PHOENIX, AZ 85020-1051
Phone number: 602-677-1206