Healthcare Provider Details

I. General information

NPI: 1053579706
Provider Name (Legal Business Name): BENJAMIN TYLER SEIGLER MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4583 HIGHWAY 99
OROVILLE CA
95965-9291
US

IV. Provider business mailing address

1095 STAFFORD WAY STE J
YUBA CITY CA
95991-3333
US

V. Phone/Fax

Practice location:
  • Phone: 530-434-6318
  • Fax: 530-763-5491
Mailing address:
  • Phone: 530-966-1242
  • Fax: 530-763-5491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number49211
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: