| Doctor Name: | KINDRA GAYLE SEALY |
| NPI Number: | 1447506639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 435 N Wall Ave Suite C Harrisville, UT - 844043561 |
| Business Phone Number: | 8017822000 |
| Business Fax Number: | 8017822000 |
| Mailing Address: | 1020 N 130 W, Apt 101 LOGAN |
| State: | UT |
| Postal Code: | 843418461 |
| Phone Number: | 4359940754 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2012 |
| NPI Last Update Date: | 09/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |