Provider Demographics
NPI:1568506087
Name:SEAVER, JOSEPH DEAN (LMFT)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:DEAN
Last Name:SEAVER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-0901
Mailing Address - Country:US
Mailing Address - Phone:812-265-1461
Mailing Address - Fax:
Practice Address - Street 1:305 W STATE ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-2830
Practice Address - Country:US
Practice Address - Phone:812-265-1461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001511A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist