Doctor Name: | MELISSA DUREI SEASTEAD |
NPI Number: | 1023071834 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 110623 |
Business Practice Address: | 11 River St Colony Care Behavioral Health Wellesley, MA - 024812098 |
Business Phone Number: | 7814311177 |
Business Fax Number: | 7814311181 |
Mailing Address: | 416 Boston Post Rd, Suite 202 SUDBURY |
State: | MA |
Postal Code: | 017763016 |
Phone Number: | 7814311177 |
Fax Number: | 7814311181 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 04/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 110623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |