Individual
SHAVANYA SIDNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.PSY, BCPA
Contact information
Practice address
4539 N 22ND ST STE 6548, PHOENIX, AZ 85016-4639
(623) 260-2084
Mailing address
4539 N 22ND ST STE 6548, PHOENIX, AZ 85016-4639
(623) 260-2084
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/02/2026
Last updated
05/02/2026
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