Provider Demographics
NPI:1699808659
Name:SEACHRIST, DANIEL WAYNE (MED,PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:WAYNE
Last Name:SEACHRIST
Suffix:
Gender:M
Credentials:MED,PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 HOPETOWN RD
Mailing Address - Street 2:APT. P4
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-8879
Mailing Address - Country:US
Mailing Address - Phone:740-775-2300
Mailing Address - Fax:
Practice Address - Street 1:141 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-3107
Practice Address - Country:US
Practice Address - Phone:330-559-1834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH668103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist