Organization
ELEANOR A SIEGEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR A SIEGEL PHD (OWNER)
(732) 294-9694
Entity
Organization
Contact information
Practice address
495 IRON BRIDGE RD, SUITE 8, FREEHOLD, NJ 07728-3069
(732) 294-9694
(732) 294-7470
Mailing address
495 IRON BRIDGE RD, SUITE 8, FREEHOLD, NJ 07728-3069
(732) 294-9694
(732) 294-7470
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00107300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00314000
NEW JERSEY PLUS
NJ
01
—
105113
MANAGED HEALTH NETWORK
NJ
01
—
4220195
AETNA
NJ
Enumeration date
04/23/2007
Last updated
08/22/2020
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