Individual
MARY ELIZABETH SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
363 OCEAN DR W, STAMFORD, CT 06902-8222
(203) 324-9996
(203) 921-1565
Mailing address
363 OCEAN DR W, STAMFORD, CT 06902-8222
(203) 324-9996
(203) 921-1565
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
001450
CT
Other
Enumeration date
10/13/2006
Last updated
12/19/2011
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