Provider Demographics
NPI:1942990403
Name:SEWARD, MERYL ALEXIS (DOULA)
Entity Type:Individual
Prefix:
First Name:MERYL
Middle Name:ALEXIS
Last Name:SEWARD
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-2002
Mailing Address - Country:US
Mailing Address - Phone:661-331-4512
Mailing Address - Fax:
Practice Address - Street 1:1807 6TH ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-2002
Practice Address - Country:US
Practice Address - Phone:661-331-4512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula