Individual
DR. SIDNEY R. EPPERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1214 ELLIS AVE, LUFKIN, TX 75904-3326
(936) 637-0074
(936) 637-0081
Mailing address
1214 ELLIS AVE, LUFKIN, TX 75904-3326
(936) 637-0074
(936) 637-0081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-5040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035934101
—
TX
Enumeration date
06/12/2006
Last updated
06/03/2014
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