Individual
DR. KATHARINE SURELLA SEAGLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
355 BRIARWOOD CIRCLE, ANN ARBOR, MI 48108-1605
(734) 998-7888
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301016789
MI
103TC0700X
Clinical Psychologist
Primary
6301016789
MI
103TR0400X
Rehabilitation Psychologist
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Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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