Seigenberg, Russell David

Seigenberg, Russell David is an sole proprietor health care provider with primary practice located at 191 E 450 N , Providence UT 84332-8400. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Seigenberg, Russell David can be contacted via phone (435) 764-3206.

Contact Information

Primary practice address
191 E 450 N Providence UT 84332-8400
Phone: (435) 764-3206
Fax: (435) 752-0226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1141192501 Utah
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1141192501 Utah
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1141192501 Utah

Profile Details

NPI number 1346310869
LBN Legal business name Seigenberg, Russell David
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2006
Last updated Jan 17th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346310869 NPPES
Utah Other 100001424477 REGENCE BLUECROSS BLUESHIELD
Utah Other 1200415 REGENCE BLUECROSS BLUESHIELD
Utah Other 1346310869 REGENCE BLUECROSS BLUESHIELD

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