Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lawrence Mark Sideman, PHD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1275650749

Dr. Lawrence Mark Sideman, PHD is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

10269 N Central Ave
Phoenix, AZ 85020-1051
Phone: (602) 677-1206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 10540 (AZ)
Professional Counselor Taxonomy 101YP2500X · Licence 11790 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3015 (AZ)

Record details

NPI number1275650749
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 22, 2007
Last updated in NPPESSeptember 11, 2025

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