Individual
SUSAN LYNN SIEGFREID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1279 W 3000 S, PERRY, UT 84302-6712
(801) 928-4798
Mailing address
2637 N. WASHINGTON BLVD. #132, NORTH OGDEN, UT 84414-0000
(801) 928-4798
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2000171366
MO
2084P0800X
Psychiatry Physician
Primary
6517478-1205
UT
2084P0800X
Psychiatry Physician
97-144
NM
2084P0800X
Psychiatry Physician
98-01771
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891178H
—
NC
Enumeration date
07/25/2006
Last updated
05/14/2014
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