Provider Demographics
NPI:1033228291
Name:MARIZITA T SEHER, PSYD, LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:MARIZITA T SEHER, PSYD, LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIZITA
Authorized Official - Middle Name:T
Authorized Official - Last Name:SEHER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:856-988-4124
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-0324
Mailing Address - Country:US
Mailing Address - Phone:856-988-4124
Mailing Address - Fax:609-261-7199
Practice Address - Street 1:92 BRICK RD
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2177
Practice Address - Country:US
Practice Address - Phone:856-988-4124
Practice Address - Fax:609-261-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ098020Medicare ID - Type Unspecified