NPI 1740582006

Ilyssa Siegel, PSYD

Practitioner Clinical Psychologist New Hope, MN

Practice location

Address: 3506 Aquila Ave N, New Hope, MN 55427-1845
Phone: (763) 746-6144

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence LP6139 (MN)

Other Psychologist providers in Minnesota →

Registry record

NPI: 1740582006
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2010
Record last updated: 17 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.