Individual
REBECCA SIDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
Mailing address
356 ANDOVER DR APT 3I, VALPARAISO, IN 46383-1488
(630) 390-0949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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