| Eleanor A Siegel | |
|
495 Iron Bridge Rd Suite 8 Freehold NJ 07728-3069 | |
| (732) 294-9694 | |
| (732) 294-7470 |
| Full Name | Eleanor A Siegel |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 495 Iron Bridge Rd, Freehold, New Jersey |
| Authorized Official Name and Position | Eleanor A Siegel (OWNER) |
| Authorized Official Contact | 7322949694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor A Siegel 495 Iron Bridge Rd Suite 8 Freehold NJ 07728-3069 Ph: (732) 294-9694 | Eleanor A Siegel 495 Iron Bridge Rd Suite 8 Freehold NJ 07728-3069 Ph: (732) 294-9694 |
| NPI Number | 1306064753 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306064753 | NPI | - | NPPES |
| 00314000 | Other | NJ | NEW JERSEY PLUS |
| 105113 | Other | NJ | MANAGED HEALTH NETWORK |
| 00314000 | Other | NJ | MAGELLAN |
| 4220195 | Other | NJ | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00107300 (New Jersey) | Primary |
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