Individual
DR. NICOLE SIEGFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
645 CRENSHAW RD, COLUMBIANA, AL 35051-3277
(205) 678-4373
(205) 678-4632
Mailing address
PO BOX 391, CHELSEA, AL 35043-0391
(205) 678-4373
(205) 678-4632
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1091
AL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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