Provider Demographics
NPI:1114050937
Name:SIEGEL, SHARON LYNNE (PHD/LMFT)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LYNNE
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:PHD/LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1111 E TAHQUITZ CYN WY
Mailing Address - Street 2:#121
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262
Mailing Address - Country:US
Mailing Address - Phone:310-455-3232
Mailing Address - Fax:760-832-7959
Practice Address - Street 1:1111 E TAHQUITZ CYN WY
Practice Address - Street 2:#121
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262
Practice Address - Country:US
Practice Address - Phone:310-455-3232
Practice Address - Fax:760-832-7959
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAMA12947101YM0800X, 101YP1600X, 106H00000X
CAMA 12947225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner