Individual
TATUM SIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
84 STATE ST, BOSTON, MA 02109-2202
(860) 788-6404
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
(877) 794-3529
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
10715
MA
Other
Enumeration date
06/14/2010
Last updated
08/19/2024
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