Provider Demographics
NPI:1881948156
Name:SIEGEL, BARBARA LYNNE (LCPC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:LYNNE
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 PRISCILLA AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-1340
Mailing Address - Country:US
Mailing Address - Phone:847-732-8668
Mailing Address - Fax:847-433-2787
Practice Address - Street 1:2710 PRISCILLA AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-1340
Practice Address - Country:US
Practice Address - Phone:847-732-8668
Practice Address - Fax:847-433-2787
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-002887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional