Provider Demographics
NPI:1578854238
Name:SIEBERG MADARIAGA, CHRISTINE BARRETT (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:BARRETT
Last Name:SIEBERG MADARIAGA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:B
Other - Last Name:SIEBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:173 PLEASANT ST APT 206
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4652
Mailing Address - Country:US
Mailing Address - Phone:401-954-8308
Mailing Address - Fax:
Practice Address - Street 1:MASSACHUSETTS GENERAL HOSPITAL
Practice Address - Street 2:ONE BOWDOIN SQUARE, SUITE 100
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-7792
Practice Address - Fax:718-216-1652
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9339103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist