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Individual

DR. KATHRINE ANNE SEALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., P.A.

Contact information

Practice address
2404 MEMORIAL BLVD STE C-08, KERRVILLE, TX 78028-5630
(830) 257-2777
Mailing address
PO BOX 806, COMFORT, TX 78013-0806
(830) 257-2777
(830) 995-2565

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
025622
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0029CT
BLUE CROSS BLUE SHIELD
TX
01
44602
NATIONAL REGISTER OF HEAL
TX
Enumeration date
07/27/2006
Last updated
07/09/2007
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