| Doctor Name: | DIANE SELINGER |
| NPI Number: | 1013046481 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 1330 Sherwood Rd Glenview, IL - 600252370 |
| Business Phone Number: | 8475831849 |
| Business Fax Number: | 8476631022 |
| Mailing Address: | 5225 Old Orchard Rd, SKOKIE |
| State: | IL |
| Postal Code: | 600774405 |
| Phone Number: | 8475831849 |
| Fax Number: | 8476631022 |
| NPI Enumeration Date: | 03/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |