Individual
DR. ROGER C. SEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
890 PAXON HOLLOW RD, MEDIA, PA 19063-1003
(610) 353-3878
(610) 353-4835
Mailing address
890 PAXON HOLLOW RD, MEDIA, PA 19063-1003
(610) 353-3878
(610) 353-4835
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005887L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004541392
AETNA
PA
Enumeration date
07/20/2006
Last updated
07/08/2007
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