MEDICARE: DR. BARBARA A SEIFERT PH. D.

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	1041C0700X	Clinical Social Worker	SW 4089	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982796868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA A SEIFERT PH. D.

Provider Business Mailing Address
First Line	:	1817 CRESCENT BLVD
Second Line	:	SUITE 101-B
City	:	ORLANDO
State	:	FL
Zip	:	32817-4619
Country	:	US
Telephone Number	:	407-306-0609
Fax Number	:	407-306-0610

Provider Business Practice Location Address
First Line	:	1817 CRESCENT BLVD
Second Line	:	SUITE 101-B
City	:	ORLANDO
State	:	FL
Zip	:	32817-4619
Country	:	US
Telephone Number	:	407-306-0609
Fax Number	:	407-306-0610

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	03/01/2011

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