Provider Demographics
NPI:1902036387
Name:SEEBER, MINDY DAWN (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:DAWN
Last Name:SEEBER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17627 CREEK BLUFF LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1317
Mailing Address - Country:US
Mailing Address - Phone:281-256-7854
Mailing Address - Fax:281-256-7854
Practice Address - Street 1:17627 CREEK BLUFF LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-1317
Practice Address - Country:US
Practice Address - Phone:281-256-7854
Practice Address - Fax:281-256-7854
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101879235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist