Provider Demographics
NPI:1881219814
Name:SIGAUD, CLELIA MARIE AGNES (PSYD)
Entity type:Individual
Prefix:DR
First Name:CLELIA
Middle Name:MARIE AGNES
Last Name:SIGAUD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BROAD ST APT 2
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04841-2854
Mailing Address - Country:US
Mailing Address - Phone:207-593-6745
Mailing Address - Fax:
Practice Address - Street 1:9730 PATUXENT WOODS DR STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1626
Practice Address - Country:US
Practice Address - Phone:443-923-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program