| Doctor Name: | MR. JOHN SELKIRK DULANEY |
| NPI Number: | 1013206473 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.C.S.W. |
| License Number: | 005084 |
| Business Practice Address: | 270 Greenwich Ave Greenwich, CT - 068306530 |
| Business Phone Number: | 2038691970 |
| Business Fax Number: | 8603502832 |
| Mailing Address: | 270 Greenwich Ave, GREENWICH |
| State: | CT |
| Postal Code: | 068306530 |
| Phone Number: | 2038691970 |
| Fax Number: | 8603502832 |
| NPI Enumeration Date: | 04/06/2011 |
| NPI Last Update Date: | 04/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 005084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |