Individual
ALAN E SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
263 CONCORD AVE, CAMBRIDGE, MA 02138-1336
(617) 253-4374
Mailing address
263 CONCORD AVE, CAMBRIDGE, MA 02138-1336
(617) 253-4374
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W01310
BLUE CROSS
MA
Enumeration date
02/17/2006
Last updated
07/08/2007
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