Doctor Name: | DR. MARK WAYNE SIGLER |
NPI Number: | 1912041351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSPE, LPC |
License Number: | LPC63 |
Business Practice Address: | 161 Indian Creek Rd Hohenwald, TN - 384622495 |
Business Phone Number: | 9317964868 |
Business Fax Number: | 9317961152 |
Mailing Address: | 161 Indian Creek Rd, HOHENWALD |
State: | TN |
Postal Code: | 384622495 |
Phone Number: | 9317964868 |
Fax Number: | 9317961152 |
NPI Enumeration Date: | 02/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC63 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |