Provider Demographics
NPI:1851659056
Name:SEYMOUR, PATRICIA JEAN (PHD, SLP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JEAN
Last Name:SEYMOUR
Suffix:
Gender:F
Credentials:PHD, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CSUN LANGUAGE SPEECH AND HEARING CTR
Mailing Address - Street 2:18111 NORDHOFF STREET
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91330-8288
Mailing Address - Country:US
Mailing Address - Phone:818-677-2856
Mailing Address - Fax:818-677-5952
Practice Address - Street 1:CSUN LANGUAGE SPEECH AND HEARING CTR
Practice Address - Street 2:18111 NORDHOFF STREET
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91330-8288
Practice Address - Country:US
Practice Address - Phone:818-677-2856
Practice Address - Fax:818-677-5952
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP15776235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist