Provider Demographics
NPI:1689484636
Name:OWENS SEAVERSON, WILLENE DEEANDRA (PHD)
Entity type:Individual
Prefix:PROF
First Name:WILLENE
Middle Name:DEEANDRA
Last Name:OWENS SEAVERSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4759
Mailing Address - Country:US
Mailing Address - Phone:945-985-1856
Mailing Address - Fax:
Practice Address - Street 1:1301 SPRING ST
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4759
Practice Address - Country:US
Practice Address - Phone:945-985-1856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management