Individual
DR. CRAIG ALLAN SIDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15300 VENTURA BLVD, SUITE 324, SHERMAN OAKS, CA 91403-3103
(818) 971-9392
Mailing address
15300 VENTURA BLVD, SUITE 324, SHERMAN OAKS, CA 91403-3103
(818) 971-9392
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY25702
CA
103T00000X
Psychologist
25702
CA
Other
Enumeration date
11/03/2009
Last updated
07/02/2016
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