Provider Demographics
NPI:1982796868
Name:SEIFERT, BARBARA A (PH D)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:SEIFERT
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 CRESCENT BLVD
Mailing Address - Street 2:SUITE 101-B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-4619
Mailing Address - Country:US
Mailing Address - Phone:407-306-0609
Mailing Address - Fax:407-306-0610
Practice Address - Street 1:1817 CRESCENT BLVD
Practice Address - Street 2:SUITE 101-B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-4619
Practice Address - Country:US
Practice Address - Phone:407-306-0609
Practice Address - Fax:407-306-0610
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 40891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7665253Medicaid
FL7665253Medicaid