Traci Seery

Individual provider Active NPI Marriage & Family Therapist · Lewes, DE

NPI 1831608041 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1831608041
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
0717001392 (VA)
Practice address
22902 Linden Dr
Lewes, DE 19958-5137
Phone
(434) 305-5870
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
FT-0000037DEMDMarriage & Family Therapist
0717001392VAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X FT-0000037 DE
Marriage & Family Therapist 106H00000X 0717001392 VA Yes

Addresses

Primary practice location

22902 Linden Dr
Lewes, DE 19958-5137

Mailing address

22902 Linden Dr
Lewes, DE 19958-5137
Phone (434) 305-5870

Other providers in Lewes, DE

All providers in Lewes, DE · Marriage & Family Therapist in Delaware

Sources for this page

Verify at the official NPI Registry.