DR. DANIEL SEAGRAVE PSYD
NPI 1366786121
Psychologist - Forensic in Fort Moore, GA
- Individual
- Male
- Psychologist
- Forensic
About DANIEL SEAGRAVE
This page provides the complete NPI Profile along with additional information for Daniel Seagrave, a provider established in Fort Moore, Georgia with a medical specialization in Psychologist, focusing in forensic . The healthcare provider is registered in the NPI registry with number 1366786121 assigned on November 2012. The practitioner's primary taxonomy code is 103TF0200X with license number 685 (NM). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1366786121 Verify this NPI
- Provider Name
- DR. DANIEL SEAGRAVE PSYD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- MARTIN ARMY, 6600 VAN AALST BLVD BLDG 9250 FORT MOORE, GA 31905
- Location Phone
- (505) 670-4484
- Mailing Address
- MARTIN ARMY, 6600 VAN AALST BLVD BLDG 9250 FORT MOORE, GA 31905
- Mailing Phone
- (505) 670-4484
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-18-2012
- Last Update Date
- 07-30-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Forensic
- Taxonomy Code
- 103TF0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 685
- License State
- NM
- Taxonomy Description
- A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 685 (NM) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366786121, enumerated as an "individual" on November 18, 2012.
The provider is located at MARTIN ARMY, 6600 VAN AALST BLVD BLDG 9250 FORT MOORE, GA 31905 and the phone number is (505) 670-4484.
Psychologist with taxonomy code 103TF0200X and a focus in Forensic.
