Provider Demographics
NPI:1720809643
Name:SIEGMAN, MARIE-CLAIR (PHD)
Entity type:Individual
Prefix:MRS
First Name:MARIE-CLAIR
Middle Name:
Last Name:SIEGMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 AMALFI DR
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-7015
Mailing Address - Country:US
Mailing Address - Phone:917-702-0569
Mailing Address - Fax:
Practice Address - Street 1:1 CHASE RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4156
Practice Address - Country:US
Practice Address - Phone:914-901-3520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP131927103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist