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Individual

DR. ELLEN J SIEGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
302 S 19TH ST, PHILADELPHIA, PA 19103-6615
(215) 545-5606
(215) 545-1692
Mailing address
302 S 19TH ST, PHILADELPHIA, PA 19103-6615
(215) 545-5606
(215) 545-1692

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-003576-L
PA

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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