Selby Psychological Services, Pllc in Bangor - Clinical
Selby Psychological Services, Pllc - NPI 1992999627
Selby Psychological Services, Pllc is a Clinical in Bangor, Maine. Selby Psychological Services, Pllc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Selby Psychological Services, Pllc is 1992999627. The last update date is 2007-09-06.
Selby Psychological Services, Pllc's current location address is 6 State St, Bangor, Maine. You can contact this provider via phone number 2072629009 and fax number 2072629008. The mailing address for Selby Psychological Services, Pllc is 6 State St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Selby Psychological Services, Pllc |
|---|---|
| Address | 6 State St, Bangor, Maine |
| Phone Number | 2072629009 |
| Fax Number | 2072629008 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LICENSED P |
|---|---|
| Authorized Official Name | Selby Ward Brian |
| Credentials | PH.D. |
| Telephone Number | 2072629009 |
NPI Number Detail
| NPI Number | 1992999627 |
|---|---|
| Provider Enumeration Date | 2007-09-06 |
| Last Updated Date | 2007-09-06 |
Provider Mailing Address Detail
| Address | 6 State St |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44015112 |
| Phone Number | 2072629009 |
| Fax Number | 2072629008 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS1017 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identification code assigned to Selby Psychological Services, Pllc by the Centers for Medicare & Medicaid Services?
The Selby Psychological Services, Pllc has been issued the NPI (National Provider Identifier) 1992999627. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Selby Psychological Services, Pllc's facilities are geographically located?
The facilities of Selby Psychological Services, Pllc are physically situated at the following location: 6 State St, Bangor, ME, 44015112.
What is the Selby Psychological Services, Pllc's specialty and taxonomy code?
The Selby Psychological Services, Pllc's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Selby Psychological Services, Pllc receive the assignment of its 1992999627 from the Centers for Medicare & Medicaid Services?
The Selby Psychological Services, Pllc was issued its 1992999627 by the Centers for Medicare & Medicaid Services on 2007-09-06.
As of what date were the details related to Selby Psychological Services, Pllc most recently updated or revised?
The information pertaining to Selby Psychological Services, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-06.