Doctor Name: | DAVID SEGUIN |
NPI Number: | 1417243627 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., C.A.S. |
License Number: | 003596 |
Business Practice Address: | 39 Old Military Rd Lake Placid, NY - 129461617 |
Business Phone Number: | 5185691254 |
Business Fax Number: | |
Mailing Address: | 39 Old Military Rd, LAKE PLACID |
State: | NY |
Postal Code: | 129461617 |
Phone Number: | 5185691254 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2011 |
NPI Last Update Date: | 06/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 003596 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |