Provider Demographics
NPI:1922022300
Name:SEIGAL, SANDIE RAYE (PHD)
Entity Type:Individual
Prefix:DR
First Name:SANDIE
Middle Name:RAYE
Last Name:SEIGAL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9304 CHELSEA DR N
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-6204
Mailing Address - Country:US
Mailing Address - Phone:954-723-0456
Mailing Address - Fax:954-723-0456
Practice Address - Street 1:102 TREETOPS LN
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2100
Practice Address - Country:US
Practice Address - Phone:305-439-0413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4659103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical