Ethan Siegel, Psy.d.

NPI #1215488911 in Falls Church, Virginia

Provider Information

NPI Number
1215488911
Entity Type
Organization
Organization Name
Ethan Siegel, Psy.d.
Primary Specialty
Psychologist - Clinical
Enumeration Date
Oct 18, 2016
Last Updated
Oct 18, 2016

Practice Location

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

Authorized Official

Name
DR. ETHAN ROBERT SIEGEL, PSY.D.
Title
PSYCHOLOGIST
Phone
(703) 819-6177

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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