Individual
DR. NANCY SIDHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
409 MAIN ST, CHESTER, NJ 07930-2526
(908) 879-2233
Mailing address
409 MAIN ST, CHESTER, NJ 07930-2526
(908) 879-2233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4006
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223775098
TAX ID #
NJ
01
—
4006
PSYCHOLOGIST LICENSE #
NJ
Enumeration date
08/16/2006
Last updated
04/04/2019
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