Doctor Name: | TERESA L SEITZ |
NPI Number: | 1043279961 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | KY-0571 |
Business Practice Address: | 715 N College Ave El Dorado, AR - 717304403 |
Business Phone Number: | 8708627921 |
Business Fax Number: | 8708642490 |
Mailing Address: | 715 N College Ave, EL DORADO |
State: | AR |
Postal Code: | 717304403 |
Phone Number: | 8708627921 |
Fax Number: | 8708642490 |
NPI Enumeration Date: | 03/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | KY-0571 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |