| Doctor Name: | DR. MARY CATHERINE TAYLOR SIEBEL |
| NPI Number: | 1083779508 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSY7821 |
| Business Practice Address: | 1500 Southgate Ave Suite 301 Daly City, CA - 940152259 |
| Business Phone Number: | 4154559572 |
| Business Fax Number: | 6507550410 |
| Mailing Address: | Po Box 36, ROSS |
| State: | CA |
| Postal Code: | 949570036 |
| Phone Number: | 4154559572 |
| Fax Number: | 6507550410 |
| NPI Enumeration Date: | 12/26/2006 |
| NPI Last Update Date: | 02/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY7821 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |