Provider Demographics
NPI:1609958917
Name:AHLMEYER, SEAN D
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:D
Last Name:AHLMEYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SEAN
Other - Middle Name:D
Other - Last Name:AHLMEYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:2526 S JENSEN ST
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1390
Mailing Address - Country:US
Mailing Address - Phone:559-635-1239
Mailing Address - Fax:
Practice Address - Street 1:2526 S JENSEN ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-1390
Practice Address - Country:US
Practice Address - Phone:559-635-1239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 20726103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical