National Provider Identifier
Miranda Sider, MS, LCAT-P, ATR-P
Miranda Sider, MS, LCAT-P, ATR-P is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Webster, NY and a listed phone number of (585) 210-0150.
Profile Overview
- NPI
- 1760202949
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 14, 2024
- Last Updated
- October 14, 2024
Practice Location
- 98 North Ave
- Webster, NY 14580-3193
Phone: (585) 210-0150
Mailing Address
- 98 North Ave
- Webster, NY 14580
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1760202949
- Entity Type
- Individual
- Last Name
- Sider
- First Name
- Miranda
- Credential
- MS, LCAT-P, ATR-P
- Provider Other Last Name
- Sider
- Provider Other First Name
- Marlowe
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 98 North Ave
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580
- Mailing Country
- US
- Mailing Phone
- (585) 210-0150
- Practice Street Address
- 98 North Ave
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-3193
- Practice Country
- US
- Practice Phone
- (585) 210-0150
- Enumeration Date
- October 14, 2024
- Last Updated
- October 14, 2024
- Sex
- X
- Sole Proprietor
- Yes
- Certification Date
- October 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)