Individual
DR. GLORIA S. SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6263 POPLAR AVE, SUITE 940, MEMPHIS, TN 38119-4701
(901) 685-2148
Mailing address
6624 WESTMINSTER RD, MEMPHIS, TN 38120-3447
(901) 683-1315
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1211
TN
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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