Individual
DR. YAAKOV SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
16300 NE 19TH AVE, SUITE 205, NORTH MIAMI BEACH, FL 33162-4883
(305) 919-1718
Mailing address
16300 NE 19TH AVE, SUITE 205, NORTH MIAMI BEACH, FL 33162-4883
(305) 919-1718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY7796
FL
103TF0200X
Forensic Psychologist
Primary
PY7796
FL
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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