MEDICARE: MS. HEATHER NICOLE SEEMAN M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	IMT 2536	FL

General Provider Information

NPI Number	:	1295287571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER NICOLE SEEMAN M.A.

Provider Business Mailing Address
First Line	:	2809 CLIFFE CT
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-6380
Country	:	US
Telephone Number	:	850-420-4831
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 SPRING CENTRE SOUTH BLVD
Second Line	:	SUITE 212
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1974
Country	:	US
Telephone Number	:	407-796-8448
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2016
Last Update Date	:	11/02/2016

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