Healthcare Provider Details

I. General information

NPI: 1508159278
Provider Name (Legal Business Name): AMANDA SEAVEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2011
Last Update Date: 05/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 CROSBY RD
DOVER NH
03820-4370
US

IV. Provider business mailing address

11 MEADOWBROOK LN
LITCHFIELD NH
03052-2339
US

V. Phone/Fax

Practice location:
  • Phone: 603-516-9300
  • Fax: 603-743-3244
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: