Individual
JESSICA SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
555 CENTRAL AVE, FILLMORE, CA 93015-1331
(805) 524-8487
Mailing address
750 CAMINO LAS CONCHAS, THOUSAND OAKS, CA 91360-2374
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
11/27/2023
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