| Samantha Siegel, Lpc | |
|
5209 Heritage Ave Suite 210 Colleyville TX 76034-5987 | |
| (817) 545-7100 | |
| (817) 545-4555 |
| Full Name | Samantha Siegel, Lpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5209 Heritage Ave, Colleyville, Texas |
| Authorized Official Name and Position | Samantha Bryn Siegel (LPC) |
| Authorized Official Contact | 9724000487 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Siegel, Lpc 5209 Heritage Ave Suite 210 Colleyville TX 76034-5987 Ph: (817) 545-7100 | Samantha Siegel, Lpc 5209 Heritage Ave Suite 210 Colleyville TX 76034-5987 Ph: (817) 545-7100 |
| NPI Number | 1356655112 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356655112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 63713 (Texas) | Primary |
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