Doctor Name: | DONALD M SEIDEMANN |
NPI Number: | 1104977578 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | LW5199 |
Business Practice Address: | 13030 Military Rd S Suite 202 Tukwila, WA - 981683085 |
Business Phone Number: | 2064318646 |
Business Fax Number: | 2064397216 |
Mailing Address: | 13030 Military Rd S, Suite 202 TUKWILA |
State: | WA |
Postal Code: | 981683085 |
Phone Number: | 2064318646 |
Fax Number: | 2064397216 |
NPI Enumeration Date: | 01/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW5199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |