Provider Demographics
NPI:1619090255
Name:SEEGAL, NORMA A (SLP)
Entity Type:Individual
Prefix:MS
First Name:NORMA
Middle Name:A
Last Name:SEEGAL
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 SE 9TH ST
Mailing Address - Street 2:APT. #203
Mailing Address - City:DANIA
Mailing Address - State:FL
Mailing Address - Zip Code:33004-5366
Mailing Address - Country:US
Mailing Address - Phone:954-261-2985
Mailing Address - Fax:305-228-6251
Practice Address - Street 1:4284 SW 161ST PLACE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185
Practice Address - Country:US
Practice Address - Phone:786-208-2814
Practice Address - Fax:305-228-6251
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 7220235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist