Provider Demographics
NPI:1790111342
Name:DANG, SIDNEY TUAN (PSYD)
Entity type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:TUAN
Last Name:DANG
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 S MAIN ST STE A5
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-3432
Mailing Address - Country:US
Mailing Address - Phone:805-743-3264
Mailing Address - Fax:
Practice Address - Street 1:444 S MAIN ST STE A5
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3432
Practice Address - Country:US
Practice Address - Phone:805-743-3264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-15
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9434459-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical