Most Relevant Information
Provider Data
NPI Number: | 1003025255 |
Provider Name: | PAM SIEGEL M.P.H., M.F.T. |
Entity Type: | Individual |
Taxonomy Code: | 106H00000X |
Specialty: | Marriage & Family Therapist |
License Number: | 4382 |
Most Important Dates
Enumeration Date: | 05/22/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
2211 CORINTH AVENUE
SUITE 203
LOS ANGELES
CA
90064
Practice Location Phone/Fax
Phone: | 3104753461 |
Fax: |
Provider Mailing Location
748 WARNER AVENUE
LOS ANGELES
CA
90024
Provider Mailing Phone/Fax
Phone: | 3104753461 |
Fax: |