Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | MA12947 | CA |
N | 101YP1600X | Pastoral Counselor | MA12947 | CA |
N | 225400000X | Rehabilitation Practitioner | MA 12947 | CA |
NPI | 1114050937 |
---|---|
Provider Name | Dr. Sharon Lynne Siegel |
First Address | Palm Springs, CA 92262 |
Second Address | Palm Springs, CA 92262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 01/07/2021 |