Provider Demographics
NPI:1407403934
Name:EDUCATIONAL ADVANCEMENT ASSOCIATES
Entity Type:Organization
Organization Name:EDUCATIONAL ADVANCEMENT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEESE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-413-3778
Mailing Address - Street 1:15 SCHOOLHOUSE LNDG
Mailing Address - Street 2:
Mailing Address - City:EAST GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06026-2601
Mailing Address - Country:US
Mailing Address - Phone:860-413-3778
Mailing Address - Fax:
Practice Address - Street 1:15 SCHOOLHOUSE LNDG
Practice Address - Street 2:
Practice Address - City:EAST GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06026-2601
Practice Address - Country:US
Practice Address - Phone:860-413-3778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty