Most Relevant Information
Provider Data
| NPI Number: | 1003583410 |
| Provider Name: | TROY J SIDNER CT |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | C.2103136-TRNE |
Most Important Dates
| Enumeration Date: | 08/24/2021 |
| Last Updated: | 08/24/2021 |
Provider Practice Location
3445 S MAIN ST
COVENTRY TOWNSHIP
OH
443193028
Practice Location Phone/Fax
| Phone: | 3306444095 |
| Fax: |
Provider Mailing Location
3445 S MAIN ST
COVENTRY TOWNSHIP
OH
443193028
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |