Individual
DR. JENNIFER N. TRAVIS SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
430 MORTON PLANT ST STE 402, CLEARWATER, FL 33756
(727) 461-8635
(727) 333-6038
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY6979
FL
Other
Enumeration date
08/17/2017
Last updated
08/31/2018
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