Provider Demographics
NPI:1841799194
Name:SEELEY, DEANNE
Entity Type:Individual
Prefix:
First Name:DEANNE
Middle Name:
Last Name:SEELEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 STAGE RD
Mailing Address - Street 2:
Mailing Address - City:BUSKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:12028-2602
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:426 STAGE RD
Practice Address - Street 2:
Practice Address - City:BUSKIRK
Practice Address - State:NY
Practice Address - Zip Code:12028-2602
Practice Address - Country:US
Practice Address - Phone:518-337-8743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant