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Individual

DR. MICAH SADIGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
850 S 5TH ST, GOOD SHEPHERD PSYCHOLOGY GROUP, ALLENTOWN, PA 18103-3308
(610) 776-3594
Mailing address
850 S 5TH ST, GOOD SHEPHERD PSYCHOLOGY GROUP, ALLENTOWN, PA 18103-3308
(610) 776-3594

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006029
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568536480
GROUP
PA
01
630922NB0
MEDICARE
PA
Enumeration date
03/30/2007
Last updated
12/14/2007
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