Diane O. Seaman, Lcsw | |
18 Forest Rd Centereach NY 11720-2244 | |
(631) 648-7689 | |
(631) 648-7690 |
Full Name | Diane O. Seaman, Lcsw |
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Speciality | Counselor - Mental Health |
Location | 18 Forest Rd, Centereach, New York |
Authorized Official Name and Position | Diane O Seaman (OWNER) |
Authorized Official Contact | 6316487689 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diane O. Seaman, Lcsw 18 Forest Rd Centereach NY 11720-2244 Ph: (631) 648-7689 | Diane O. Seaman, Lcsw 18 Forest Rd Centereach NY 11720-2244 Ph: (631) 648-7689 |
NPI Number | 1992074751 |
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Provider Enumeration Date | 12/23/2011 |
Last Update Date | 12/23/2011 |
Identifier | Type | State | Issuer |
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1992074751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | R0270991 (New York) | Primary |
101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
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Amanda Grodewald-adler, Psy.d., Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1919 Middle Country Rd Ste 308, Centereach, NY 11720 Phone: 631-209-5343 | |
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