Individual
JAMES SIDDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1301 N STAFFORD ST, ARLINGTON, VA 22201-4840
(703) 228-2683
Mailing address
2110 WASHINGTON BLVD, ARLINGTON, VA 22204-5719
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
0813000965
VA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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