Provider Demographics
NPI:1629711064
Name:SIEPSER, CLAIRE (MA, MFA, MED)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:SIEPSER
Suffix:
Gender:F
Credentials:MA, MFA, MED
Other - Prefix:
Other - First Name:FINN
Other - Middle Name:
Other - Last Name:SIEPSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, MFA, MED
Mailing Address - Street 1:909 W. MOYAMENSING AVE.
Mailing Address - Street 2:APT 2
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-3745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:909 W. MOYAMENSING AVE.
Practice Address - Street 2:APT 2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3745
Practice Address - Country:US
Practice Address - Phone:510-463-4575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health