| Doctor Name: | MRS. SANDRA NANCY SEEWALDT |
| NPI Number: | 1073872339 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS, CASAC-T |
| License Number: | 26907 |
| Business Practice Address: | 422 N Main St Warsaw, NY - 145691050 |
| Business Phone Number: | 5857868133 |
| Business Fax Number: | 5857869928 |
| Mailing Address: | 422 N Main St, WARSAW |
| State: | NY |
| Postal Code: | 145691050 |
| Phone Number: | 5857868133 |
| Fax Number: | 5857869288 |
| NPI Enumeration Date: | 05/08/2012 |
| NPI Last Update Date: | 05/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 26907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |