Healthcare Provider Details

I. General information

NPI: 1487662318
Provider Name (Legal Business Name): STEVEN NORMAN SEWARD M ED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1932 S GARLAND AVE
FAYETTEVILLE AR
72701-6841
US

IV. Provider business mailing address

PO BOX 9717
FAYETTEVILLE AR
72703-0031
US

V. Phone/Fax

Practice location:
  • Phone: 479-426-3958
  • Fax: 479-521-9902
Mailing address:
  • Phone: 479-426-3958
  • Fax: 479-521-9902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM4804036
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberP916021
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: