Provider Demographics
NPI:1194734897
Name:SEEMANN, ERIC A (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:A
Last Name:SEEMANN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2812 DRAKE AVE SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35805-5122
Mailing Address - Country:US
Mailing Address - Phone:256-529-4673
Mailing Address - Fax:256-937-7628
Practice Address - Street 1:2812 DRAKE AVE SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35805-5122
Practice Address - Country:US
Practice Address - Phone:256-529-4673
Practice Address - Fax:256-937-7628
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
AL1327103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51526570OtherBCBS
AL51527614OtherFEP BCBS
AL51527614OtherFEP BCBS
ALQ36513Medicare UPIN