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Individual

KAREN MICHELE SIEGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4167
(253) 968-4938
Mailing address
11231 BORGEN LOOP, GIG HARBOR, WA 98332-5712
(619) 977-3055

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2669
OR
103TB0200X
Cognitive & Behavioral Psychologist
2669
OR
103TC0700X
Clinical Psychologist
2669
OR
103TH0004X
Health Psychologist
Primary
2669
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PSY20347
CA
05
PSY203470
CA
Enumeration date
01/09/2007
Last updated
02/20/2019
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