| Ethan Siegel, Psy.d. | |
|
6400 Seven Corners Pl Suite R Falls Church VA 22044-2009 | |
| (703) 819-6177 | |
| Not Available |
| Full Name | Ethan Siegel, Psy.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6400 Seven Corners Pl, Falls Church, Virginia |
| Authorized Official Name and Position | Ethan Robert Siegel (PSYCHOLOGIST) |
| Authorized Official Contact | 7038196177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Siegel, Psy.d. 6400 Seven Corners Pl Suite R Falls Church VA 22044-2009 Ph: (703) 819-6177 | Ethan Siegel, Psy.d. 6400 Seven Corners Pl Suite R Falls Church VA 22044-2009 Ph: (703) 819-6177 |
| NPI Number | 1215488911 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215488911 | NPI | - | NPPES |
| 1043568975 | Other | VA | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004627 (Virginia) | Primary |
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