Provider Demographics
NPI:1609102169
Name:SEYMOUR, MARTHA A (PLMHP)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:A
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-4533
Mailing Address - Country:US
Mailing Address - Phone:402-239-0350
Mailing Address - Fax:
Practice Address - Street 1:825 M ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-2246
Practice Address - Country:US
Practice Address - Phone:402-730-5086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8573101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health