Provider Demographics
NPI:1669461240
Name:SEAMAN, CAROLYN M (PH D)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:M
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:PH D
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 773
Mailing Address - Street 2:
Mailing Address - City:KINDERHOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12106-0773
Mailing Address - Country:US
Mailing Address - Phone:508-758-9342
Mailing Address - Fax:518-758-8482
Practice Address - Street 1:31 BROAD ST
Practice Address - Street 2:
Practice Address - City:KINDERHOOK
Practice Address - State:NY
Practice Address - Zip Code:12106-1700
Practice Address - Country:US
Practice Address - Phone:518-758-9342
Practice Address - Fax:518-758-8482
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005456103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00518719Medicaid
NYV44621Medicare ID - Type UnspecifiedNY CLINICAL PSYCHOLOGY