Individual
JESSE A SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
3310 CROASDAILE DR STE 400, DURHAM, NC 27705-6806
(919) 384-9682
Mailing address
3310 CROASDAILE DR STE 400, DURHAM, NC 27705-6806
(919) 384-9682
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6049
NC
1041S0200X
School Social Worker
—
—
Other
Enumeration date
06/25/2017
Last updated
09/22/2022
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