Individual
DR. REBECCA SAVOY SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4123 DUTCHMANS LANE, SUITE 307, LOUISVILLE, KY 40207-4721
(502) 409-5600
(502) 259-3078
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4334
NC
103TC0700X
Clinical Psychologist
Primary
PSYLIP00211362
KY
103TC2200X
Clinical Child & Adolescent Psychologist
4334
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000973218
ANTHEM
KY
01
—
208486
SIHO
KY
01
—
50102071
PASSPORT
KY
05
—
7100387330
—
KY
Enumeration date
06/22/2012
Last updated
01/21/2021
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