Doctor Name: | DR. STANLEY SELINGER |
NPI Number: | 1063490795 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 3235 Vollmer Rd Suite 137 Flossmoor, IL - 604222013 |
Business Phone Number: | 7087982442 |
Business Fax Number: | 7082061399 |
Mailing Address: | Po Box 305, FLOSSMOOR |
State: | IL |
Postal Code: | 604220305 |
Phone Number: | 7087982442 |
Fax Number: | 7082061399 |
NPI Enumeration Date: | 01/04/2006 |
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: |