Individual
DR. CAROL F. SIEGEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1516 W LAKE ST, STE 214, MINNEAPOLIS, MN 55408-2554
(612) 825-4307
(612) 821-4349
Mailing address
1516 W LAKE ST, STE 214, MINNEAPOLIS, MN 55408-2554
(612) 825-4307
(612) 821-4349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4422
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600R5SI
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/23/2005
Last updated
07/08/2007
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