Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 537 | MA |
Y | 103T00000X | Psychologist | 537 | MA |
N | 103TF0200X | Forensic Psychologist | ||
N | 103TH0100X | Health Service | PSY000984 | GA |
NPI | 1154579035 |
---|---|
Provider Name | Dr. Guy O Seymour |
First Address | Atlanta, GA 30316-2537 |
Second Address | Atlanta, GA 30308-1464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2008 |
Last Update Date | 03/09/2008 |