Individual
DR. ROBERT BRIAN SIDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PYS.D.
Contact information
Practice address
1414 BROOKGREEN DR, NORTH AUGUSTA, SC 29841-6003
(706) 787-3780
Mailing address
1414 BROOKGREEN DR, NORTH AUGUSTA, SC 29841-6003
(706) 787-3780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006973
IL
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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