Doctor Name: | MS. DEBORAH RUTH SIEGEL |
NPI Number: | 1124161781 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 000014 |
Business Practice Address: | 519 Heritage Rd Ste 2l Southbury, CT - 064881699 |
Business Phone Number: | 2032646486 |
Business Fax Number: | 2032646486 |
Mailing Address: | 858 Chestnut Tree Hill Rd, SOUTHBURY |
State: | CT |
Postal Code: | 064881958 |
Phone Number: | 2032640630 |
Fax Number: | |
NPI Enumeration Date: | 02/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 000014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |