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NPI Code Detail

MEDICARE: DR. SHEILAH SIEGEL PH.D.

MEDICARE: DR. SHEILAH SIEGEL PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY17548CA

General Provider Information

NPI Number : 1386502789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHEILAH SIEGEL PH.D.
Provider Business Mailing Address
First Line : 501 MISSION ST STE 4
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-3653
Country : US
Telephone Number : 831-430-0376
Fax Number :
Provider Business Practice Location Address
First Line : 501 MISSION ST STE 4
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-3653
Country : US
Telephone Number : 831-430-0376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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