Individual
JOELLE VALVO SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6 STATE ST, SUITE 413, BANGOR, ME 04401-5112
(207) 942-9600
(207) 942-2627
Mailing address
6 STATE ST, SUITE 413, BANGOR, ME 04401-5112
(207) 942-9600
(207) 942-2627
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PS971
ME
103TC0700X
Clinical Psychologist
Primary
PS971
ME
103TC2200X
Clinical Child & Adolescent Psychologist
PS971
ME
103TF0000X
Family Psychologist
PS971
ME
103TF0200X
Forensic Psychologist
PS971
ME
103TP2701X
Group Psychotherapy Psychologist
PS971
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289950000
—
ME
Enumeration date
04/03/2007
Last updated
05/02/2016
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