Sidney, Larry E
Sidney, Larry E is an individual health care provider with primary practice located at 3101 Broadway St Suite 230, Kansas City MO 64111-2659. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Sidney, Larry E can be contacted via phone (816) 531-2900.Contact Information
Primary practice address
3101 Broadway St Suite 230
Kansas City MO 64111-2659
Phone: (816) 531-2900
Fax: (816) 531-2901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 000729 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 003878 | Missouri |
Profile Details
| NPI number | 1215995790 |
|---|---|
| LBN Legal business name | Sidney, Larry E |
| Credentials | MA, LPC, NCC, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215995790 | NPPES |
| Missouri | Other | 127826 | NEW DIRECTIONS BEHAVIORAL |
| Missouri | Other | 28784029 | NEW DIRECTIONS BEHAVIORAL |
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