Individual
DR. CANDACE SUZANNE SIEGMUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12304 SANTA MONICA BLVD STE 379, LOS ANGELES, CA 90025-1542
(213) 223-8402
Mailing address
12304 SANTA MONICA BLVD STE 379, LOS ANGELES, CA 90025-1542
(213) 223-8402
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
29454
CA
Other
Enumeration date
08/20/2012
Last updated
02/15/2019
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