Provider Demographics
NPI:1194920132
Name:SEWARD, KAY M (PHD)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:M
Last Name:SEWARD
Suffix:
Gender:F
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:PO BOX 8766
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85214-8766
Mailing Address - Country:US
Mailing Address - Phone:480-981-1029
Mailing Address - Fax:480-981-0690
Practice Address - Street 1:4449 E ELMWOOD ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-5251
Practice Address - Country:US
Practice Address - Phone:480-981-1029
Practice Address - Fax:480-981-0690
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1337103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist