Individual
SUSAN KOLE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2688 FRUITVILLE RD, SARASOTA, FL 34237
(941) 366-2224
(941) 366-2982
Mailing address
1640 SOUTH LAKE SHORE, SARASOTA, FL 34231
(941) 924-6730
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6917
FL
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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