Individual
DR. DAN RAYMOND SEABOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
186 MAIN ST, FARMINGTON, ME 04938-1921
(207) 778-0300
Mailing address
PO BOX 1124, FARMINGTON, ME 04938-1124
(207) 778-0300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS702
ME
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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