Provider Demographics
NPI:1942803572
Name:SIEGEL, ERIN MARIE (LE CLC, CMA)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:LE CLC, CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E 62ND AVE UNIT 1612
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-1254
Mailing Address - Country:US
Mailing Address - Phone:720-933-8848
Mailing Address - Fax:
Practice Address - Street 1:1001 E 62ND AVE UNIT 1612
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80216-1254
Practice Address - Country:US
Practice Address - Phone:720-933-8848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst