Doctor Name: | DR. RICHARD W. SELLARS |
NPI Number: | 1235266495 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 163 |
Business Practice Address: | 3515 Broadway Ave. Yankton, SD - 570787600 |
Business Phone Number: | 6056683100 |
Business Fax Number: | |
Mailing Address: | 3515 Broadway Ave., YANKTON |
State: | SD |
Postal Code: | 570787600 |
Phone Number: | 6056683100 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |