Individual provider · Type 1 NPI

Samuel Wolf Siegel-Wallace

Psychologist · Philadelphia, PA

NPI number 1306740469 Active

Practice location

123 S Broad St Ste 2240
Philadelphia, PA 19109-1029

Call (267) 209-0140 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPS020872 (PA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1306740469

Samuel Wolf Siegel-Wallace's National Provider Identifier is 1306740469, issued on Oct 5, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 5, 2026.