Individual
DR. EMILY TARBET SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1577 CONGRESS ST, 2ND FLOOR, PORTLAND, ME 04102-2169
(207) 662-1622
(207) 774-1814
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS00865
RI
103TC0700X
Clinical Psychologist
Primary
PS1280
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434615199
—
ME
Enumeration date
11/20/2006
Last updated
05/31/2011
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