Provider Demographics
NPI:1033184809
Name:SEYMOUR, DONNA L (LMT)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 N ELM ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1643
Mailing Address - Country:US
Mailing Address - Phone:413-262-1569
Mailing Address - Fax:
Practice Address - Street 1:125 N ELM ST
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-1643
Practice Address - Country:US
Practice Address - Phone:413-262-1569
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor