Provider Demographics
NPI:1386515252
Name:SEEGER, JOSEPH DOUGLAS JR
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DOUGLAS
Last Name:SEEGER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6405 PEARSON LN
Mailing Address - Street 2:
Mailing Address - City:NORTH HIGHLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:95660-4137
Mailing Address - Country:US
Mailing Address - Phone:916-745-2831
Mailing Address - Fax:
Practice Address - Street 1:6405 PEARSON LN
Practice Address - Street 2:
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-4137
Practice Address - Country:US
Practice Address - Phone:916-745-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAY1744776103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst