Healthcare Provider Details

I. General information

NPI: 1750175360
Provider Name (Legal Business Name): FRANK HENRY SEABROOK III PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 BAYSHORE BLVD
TAMPA FL
33606-2707
US

IV. Provider business mailing address

1500 NW NORTH RIVER DR APT 1509
MIAMI FL
33125-2690
US

V. Phone/Fax

Practice location:
  • Phone: 800-505-7769
  • Fax:
Mailing address:
  • Phone: 631-902-9941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: