Individual
CHRISTINE S SAMPLES SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
5100 EDEN AV, STE 110, EDINA, MN 55436
(952) 746-4780
(952) 746-4252
Mailing address
5100 EDEN AV, STE 110, EDINA, MN 55436
(952) 746-4780
(952) 746-4252
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 2583
MN
Other
Enumeration date
02/02/2006
Last updated
10/06/2010
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