Provider Demographics
NPI:1538982269
Name:SIEGER, ELIZABETH HATHAWAY (PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HATHAWAY
Last Name:SIEGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:HATHAWAY
Other - Last Name:PIKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3333 HENRY HUDSON PKWY APT 14D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3259
Mailing Address - Country:US
Mailing Address - Phone:917-733-1082
Mailing Address - Fax:
Practice Address - Street 1:3333 HENRY HUDSON PKWY APT 14D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3259
Practice Address - Country:US
Practice Address - Phone:917-733-1082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013691103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical