Gregg Selke in Providence - Clinical Neuropsychologist
Gregg Selke - NPI 1447458708
Gregg Selke is a Clinical Neuropsychologist in Providence, Rhode Island. Gregg Selke practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Gregg Selke is 1447458708. The last update date is 2013-02-05.
Gregg Selke's current location address is 593 Eddy St, Providence, Rhode Island. You can contact this provider via phone number 4014444500 and fax number 4014446643. The mailing address for Gregg Selke is 593 Eddy St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg Selke |
|---|---|
| Address | 593 Eddy St, Providence, Rhode Island |
| Phone Number | 4014444500 |
| Fax Number | 4014446643 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1447458708 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2013-02-05 |
Provider Mailing Address Detail
| Address | 593 Eddy St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29034923 |
| Phone Number | 4014444500 |
| Fax Number | 4014446643 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PS01024 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PS01024 | RI | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gregg Selke?
The Gregg Selke has been issued the NPI (National Provider Identifier) 1447458708 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Gregg Selke is located?
The Gregg Selke is situated at the following address: 593 Eddy St, Providence, RI, 29034923.
What is Gregg Selke's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gregg Selke is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date did the Gregg Selke receive its 1447458708 assignment from the Centers for Medicare & Medicaid Services?
The Gregg Selke was assigned its 1447458708 by the Centers for Medicare & Medicaid Services on 2007-07-10.
As of what date were the details related to Gregg Selke most recently updated or revised?
The information pertaining to Gregg Selke, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-05.