Ethan Siegel, Psy.D.

LBN: Ethan Siegel, Psy.D.
Ethan Siegel, Psy.D. is an health care organization with primary practice located at 6400 Seven Corners Pl Suite R, Falls Church VA 22044-2009. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Ethan Siegel, Psy.D. can be contacted via phone (703) 819-6177, or through Siegel, Ethan Robert via phone (703) 819-6177.

Contact Information

Primary practice address
6400 Seven Corners Pl Suite R Falls Church VA 22044-2009
Phone: (703) 819-6177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Siegel, Ethan Robert PSY.D.
Phone: (703) 819-6177

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810004627 Virginia

Profile Details

NPI number 1215488911
LBN Legal business name Ethan Siegel, Psy.D.
DBA Doing business as
Authorized official Siegel, Ethan Robert PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2016
Last updated Oct 18th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215488911 NPPES
Virginia Other 1043568975 TYPE 1 NPI

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