Provider Demographics
NPI:1346665361
Name:SIGGINS, DONALD (PSYCHOLOGIST)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:
Last Name:SIGGINS
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 COLLEGE ST STE 206
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3484
Mailing Address - Country:US
Mailing Address - Phone:530-591-7284
Mailing Address - Fax:
Practice Address - Street 1:327 COLLEGE ST STE 206
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3484
Practice Address - Country:US
Practice Address - Phone:530-591-7284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19476 & MFC24742103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent