Provider Demographics
NPI:1326705914
Name:NUZZI, SIDNEY ALEXANDER
Entity Type:Individual
Prefix:MR
First Name:SIDNEY
Middle Name:ALEXANDER
Last Name:NUZZI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ALLWELL RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-3014
Mailing Address - Country:US
Mailing Address - Phone:252-457-5411
Mailing Address - Fax:
Practice Address - Street 1:45 ALLWELL RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-3014
Practice Address - Country:US
Practice Address - Phone:252-457-5411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor