Individual
KASEY BLAIR SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
901 5TH AVE, NEW YORK, NY 10021-4157
(646) 351-0220
Mailing address
121 KENT RD, TENAFLY, NJ 07670-2305
(617) 515-7748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024810
NY
103TC0700X
Clinical Psychologist
35S100695900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
05/30/2023
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