Provider Demographics
NPI:1750559522
Name:SEYLER-WETZEL, KIRSTEN INGA (LCSW-R)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:INGA
Last Name:SEYLER-WETZEL
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 OWLS NEST RD
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-3861
Mailing Address - Country:US
Mailing Address - Phone:845-399-0949
Mailing Address - Fax:
Practice Address - Street 1:526 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5544
Practice Address - Country:US
Practice Address - Phone:518-587-4161
Practice Address - Fax:518-587-5134
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR067087170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS