Samuel-Siegel, Phillip

Samuel-Siegel, Phillip is an individual health care provider with primary practice located at 130 Powerville Rd , Boonton NJ 07005-8705. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Samuel-Siegel, Phillip can be contacted via phone (973) 316-1869.

Contact Information

Primary practice address
130 Powerville Rd Boonton NJ 07005-8705
Phone: (973) 316-1869
Fax: (973) 316-1920
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05268300 New Jersey

Profile Details

NPI number 1043372030
LBN Legal business name Samuel-Siegel, Phillip
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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