Provider Demographics
NPI:1396816450
Name:DENHAM, SEANNA-KAYE MELISSA (PHD)
Entity Type:Individual
Prefix:
First Name:SEANNA-KAYE
Middle Name:MELISSA
Last Name:DENHAM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 MEREDITH LN
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-1244
Mailing Address - Country:US
Mailing Address - Phone:516-884-4577
Mailing Address - Fax:
Practice Address - Street 1:223 MEREDITH LN
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-1244
Practice Address - Country:US
Practice Address - Phone:516-884-4577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016964103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical