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Provider Information for 1114943370


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Ms. TRICIA ANN SIEGEL LPC


Sex: Female

NPI: 1114943370
Last Updated: 2024-04-11
Certification Date: 2024-04-11

Details

NameValue
NPI1114943370
Enumeration Date2006-07-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 9442 N 105TH ST
SCOTTSDALE, AZ 85258-6041
United States

Phone: 602-363-7338 | Fax:
 
Primary Practice Address 9442 N 105TH ST
SCOTTSDALE, AZ 85258-6041
United States

Phone: 602-363-7338 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthAZLPC-2133
Yes 101YP2500X - Counselor - ProfessionalAZLPC-22929