Ethan Siegel, PSY.D.

NPI #1043568975 in Falls Church, Virginia

Provider Information

NPI Number
1043568975
Entity Type
Individual
Name
Ethan Siegel, PSY.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PSY.D.
Enumeration Date
Aug 27, 2012
Last Updated
Oct 17, 2016

Practice Location

Address
6400 SEVEN CORNERS PL
Address 2
SUITE R
ZIP Code
22044-2009
Phone
(703) 819-6177

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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