| Organization Name: | ALEX M. SIEGEL, J.D.,PH.D., LLC |
| NPI Number: | 1730423823 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEX M. SIEGEL (PSYCHOLOGIST) |
| Mailing Address: | 915 Montgomery Ave Suite 210 Penn Valley |
| State: | PA US |
| Postal Code: | 190721548 |
| Phone Number: | 6106684240 |
| Fax Number: | |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS-005568-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |