Provider Demographics
NPI:1992757215
Name:SIEGEL, JANET L (PSY D)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:L
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450N NARBERTH AVENUE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1822
Mailing Address - Country:US
Mailing Address - Phone:610-617-9955
Mailing Address - Fax:610-660-9088
Practice Address - Street 1:450 N NARBERTH AVENUE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1822
Practice Address - Country:US
Practice Address - Phone:610-617-9955
Practice Address - Fax:610-660-9088
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007702L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG61579OtherINTERCOUNTY HEALTH PLAN
PA761579Medicare ID - Type UnspecifiedINACTIVE
761579Medicare UPIN