Organization
NEURODYNAMIX TESTING AND THERAPY SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOAH EDWARD SIDEMAN PSYD (PRACTICE OWNER)
(215) 586-3448
Entity
Organization
Contact information
Practice address
128 CHESTNUT ST STE 404B, PHILADELPHIA, PA 19106-3024
(215) 586-2448
Mailing address
419 COUNTRYSIDE DR, EPHRATA, PA 17522-9629
(215) 586-2448
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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