Kenneth A Siegel, Ph.D., Pc in Virginia Beach - Clinical

Kenneth A Siegel, Ph.D., Pc - NPI 1265608087

Kenneth A Siegel, Ph.D., Pc is a Clinical in Virginia Beach, Virginia. Kenneth A Siegel, Ph.D., Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth A Siegel, Ph.D., Pc is 1265608087. The last update date is 2008-05-01.

Kenneth A Siegel, Ph.D., Pc's current location address is 933 First Colonial Rd, Virginia Beach, Virginia. You can contact this provider via phone number 7574229733 and fax number 7574224078. The mailing address for Kenneth A Siegel, Ph.D., Pc is 933 First Colonial Rd, Virginia Beach, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenneth A Siegel, Ph.D., Pc
Address 933 First Colonial Rd, Virginia Beach, Virginia
Phone Number 7574229733
Fax Number 7574224078
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Siegel A Kenneth
Credentials PH.D.
Telephone Number 7574229733

NPI Number Detail

NPI Number 1265608087
Provider Enumeration Date 2008-05-01
Last Updated Date 2008-05-01

Provider Mailing Address Detail

Address 933 First Colonial Rd
City Virginia Beach
State Virginia (VA)
Post Code 234543172
Phone Number 7574229733
Fax Number 7574224078

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 810000887
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
620000012 VA MEDICARE
83028 VA SENTARA
6215 VA ANTHEM BLUE CROSS/BLUE SHIELD
7714203 VA --
4107739 VA AETNA

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FAQs about Kenneth A Siegel, Ph.D., Pc

What is the unique 10-digit identification code issued to Kenneth A Siegel, Ph.D., Pc by the Centers for Medicare & Medicaid Services?

The Kenneth A Siegel, Ph.D., Pc has been assigned the NPI (National Provider Identifier) 1265608087 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Kenneth A Siegel, Ph.D., Pc is located?

The Kenneth A Siegel, Ph.D., Pc is situated at the following address: 933 First Colonial Rd, Virginia Beach, VA, 234543172.

What is Kenneth A Siegel, Ph.D., Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth A Siegel, Ph.D., Pc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Kenneth A Siegel, Ph.D., Pc receive the assignment of its 1265608087 from the Centers for Medicare & Medicaid Services?

The Kenneth A Siegel, Ph.D., Pc was issued its 1265608087 by the Centers for Medicare & Medicaid Services on 2008-05-01.

As of what date were the details related to Kenneth A Siegel, Ph.D., Pc most recently updated or revised?

The information pertaining to Kenneth A Siegel, Ph.D., Pc, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-01.

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