Provider Demographics
NPI:1083056766
Name:SEYMOUR, DANIEL
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:SEYMOUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 CHALLENGER LOOP APT B
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-4832
Mailing Address - Country:US
Mailing Address - Phone:808-517-6190
Mailing Address - Fax:808-517-6190
Practice Address - Street 1:2414 CHALLENGER LOOP APT B
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-4832
Practice Address - Country:US
Practice Address - Phone:808-517-6190
Practice Address - Fax:808-517-6190
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-23
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health