Provider Demographics
NPI:1487261210
Name:SEAMAN, MEGAN LAUREN
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LAUREN
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 TOC DR UNIT 102
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-1551
Mailing Address - Country:US
Mailing Address - Phone:315-323-5574
Mailing Address - Fax:
Practice Address - Street 1:42 TOC DR UNIT 102
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-1551
Practice Address - Country:US
Practice Address - Phone:315-323-5574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-25
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1000191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical