Individual
MR. JOHN P. SIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1 KELLEY DR, COAL TOWNSHIP, PA 17866-1020
(570) 644-7890
Mailing address
54 COURTLAND ROAD, SHAMOKIN DAM, PA 17876
(570) 743-1059
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS-006954-L
PA
103TC0700X
Clinical Psychologist
PS-006954-L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS-006954-L
PA
Other
Enumeration date
11/15/2006
Last updated
09/11/2025
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