Provider Demographics
NPI:1922609064
Name:SEAVEY, KASSIDY ELIZABETH (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KASSIDY
Middle Name:ELIZABETH
Last Name:SEAVEY
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:KASSIDY
Other - Middle Name:ELIZABETH
Other - Last Name:SEELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:235 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILBRIDGE
Mailing Address - State:ME
Mailing Address - Zip Code:04658-3413
Mailing Address - Country:US
Mailing Address - Phone:207-546-2880
Mailing Address - Fax:207-536-2326
Practice Address - Street 1:23 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MILBRIDGE
Practice Address - State:ME
Practice Address - Zip Code:04658-0421
Practice Address - Country:US
Practice Address - Phone:207-546-2880
Practice Address - Fax:207-536-2326
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP3564235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist