Provider Demographics
NPI:1871858894
Name:SIDHU, ROOPDEEP KAUR
Entity Type:Individual
Prefix:
First Name:ROOPDEEP
Middle Name:KAUR
Last Name:SIDHU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 CORTE MADERA AVE
Mailing Address - Street 2:APT 904
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4114
Mailing Address - Country:US
Mailing Address - Phone:559-974-5882
Mailing Address - Fax:
Practice Address - Street 1:970 CORTE MADERA AVE
Practice Address - Street 2:APT 904
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4114
Practice Address - Country:US
Practice Address - Phone:559-974-5882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health