Provider Demographics
NPI:1881215911
Name:SEATON, JANE (REG PSYCHOTHERAPIST)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:SEATON
Suffix:
Gender:F
Credentials:REG PSYCHOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4949 BROADWAY ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-0578
Mailing Address - Country:US
Mailing Address - Phone:720-434-4746
Mailing Address - Fax:
Practice Address - Street 1:4949 BROADWAY ST STE 204
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-0578
Practice Address - Country:US
Practice Address - Phone:720-434-4746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-29
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling