Provider Demographics
NPI:1356653646
Name:SEIP, SHAWN TODD (MS)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:TODD
Last Name:SEIP
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:19018-2524
Mailing Address - Country:US
Mailing Address - Phone:215-584-3275
Mailing Address - Fax:
Practice Address - Street 1:548 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:19018-2524
Practice Address - Country:US
Practice Address - Phone:215-584-3275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health