Individual
DR. DOUGLAS SEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
101 EISENHOWER PKWY, SUITE 300, ROSELAND, NJ 07068-1032
(212) 490-3590
Mailing address
PO BOX 99, LIVINGSTON, NJ 07039-0099
(212) 490-3590
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
014277-1
NY
103TC0700X
Clinical Psychologist
Primary
35SI00394200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007447266
AETNA
NJ
01
—
0007447266
AETNA
NY
01
—
555035000
MAGELLAN
NJ
01
—
555035000
MAGELLAN
NY
01
—
P2721370
OXFORD
NJ
01
—
P2721370
OXFORD
NY
Enumeration date
04/06/2007
Last updated
04/04/2014
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