Individual
DR. KENNETH A SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
933 FIRST COLONIAL RD, #201, VIRGINIA BEACH, VA 23454-3172
(757) 422-9733
(757) 422-4078
Mailing address
933 FIRST COLONIAL RD, #201, VIRGINIA BEACH, VA 23454-3172
(757) 422-9733
(757) 422-4078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
081000087
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7714203
—
VA
Enumeration date
10/19/2005
Last updated
04/16/2008
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