| Doctor Name: | RICHARD SELZNICK |
| NPI Number: | 1013097138 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | S102390 |
| Business Practice Address: | 6400 Main St Voorhees, NJ - 080434606 |
| Business Phone Number: | 8567519339 |
| Business Fax Number: | |
| Mailing Address: | 3 Cooper Plz, Suite 502 CAMDEN |
| State: | NJ |
| Postal Code: | 081031438 |
| Phone Number: | 8569687433 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 06/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | S102390 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |