Individual
MS. CELESTE MARIE SEIBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1371 W.6TH STREET., ERIE, PA 16505
(814) 454-9466
Mailing address
1371 W.6TH ST., ERIE, PA 16505
(814) 454-9466
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-006841-L
PA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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