Provider Demographics
NPI:1689307654
Name:ECKERT, SYDNEY (MS)
Entity Type:Individual
Prefix:MRS
First Name:SYDNEY
Middle Name:
Last Name:ECKERT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2343 1/2 8TH ST S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-3017
Mailing Address - Country:US
Mailing Address - Phone:612-219-6981
Mailing Address - Fax:
Practice Address - Street 1:2343 1/2 8TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-3017
Practice Address - Country:US
Practice Address - Phone:612-219-6981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health