Provider Demographics
NPI:1952453730
Name:SEEMAN, ALYSSA BETH (AUD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:BETH
Last Name:SEEMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ILLINOIS STATE UNIVERSITY
Mailing Address - Street 2:CAMPUS BOX 4720
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61790-4720
Mailing Address - Country:US
Mailing Address - Phone:309-438-8641
Mailing Address - Fax:
Practice Address - Street 1:ILLINOIS STATE UNIVERSITY
Practice Address - Street 2:CAMPUS BOX 4720
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61790-4720
Practice Address - Country:US
Practice Address - Phone:309-438-8641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-01379231H00000X
IL147.001417231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist