Doctor Name: | MS. SALLY A SELLMAN |
NPI Number: | 1033239967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED., L.C.P.C. |
License Number: | LC 1183 |
Business Practice Address: | 707 Hardwood Ln Annapolis, MD - 214014570 |
Business Phone Number: | 4102801803 |
Business Fax Number: | 4102801804 |
Mailing Address: | 3105 Emmorton Rd, ABINGDON |
State: | MD |
Postal Code: | 210092582 |
Phone Number: | 4105695900 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC 1183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |