Jeanne C. Selby in Carrollton - Clinical

Jeanne C. Selby - NPI 1124051057

Jeanne C. Selby is a Clinical in Carrollton, Texas. Jeanne C. Selby practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeanne C. Selby is 1124051057. The last update date is 2008-06-09.

Jeanne C. Selby's current location address is 1705 Woodbury, Carrollton, Texas. You can contact this provider via phone number 2147628079 and fax number 9728209711. The mailing address for Jeanne C. Selby is 1705 Woodbury, Carrollton, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanne C. Selby
Address 1705 Woodbury, Carrollton, Texas
Phone Number 2147628079
Fax Number 9728209711
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1124051057
Provider Enumeration Date 2006-07-07
Last Updated Date 2008-06-09

Provider Mailing Address Detail

Address 1705 Woodbury
City Carrollton
State Texas (TX)
Post Code 750075279
Phone Number 2147628079
Fax Number 9728209711

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 31083
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7192856 AETNA
0072PQ BLUE CROSS BLUE SHIELD (BCBS)
396566 MANAGED HEALTH NETWORK (MHN)
157554007 TX --

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FAQs about Jeanne C. Selby

What is the unique 10-digit identifier code assigned to Jeanne C. Selby by the Centers for Medicare & Medicaid Services?

The Jeanne C. Selby has been issued the NPI (National Provider Identifier) 1124051057 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jeanne C. Selby is physically located?

The Jeanne C. Selby is situated at the following address: 1705 Woodbury, Carrollton, TX 750075279.

What is Jeanne C. Selby's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeanne C. Selby is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Jeanne C. Selby receive the assignment of its 1124051057 from the Centers for Medicare & Medicaid Services?

The Jeanne C. Selby was issued its 1124051057 by the Centers for Medicare & Medicaid Services on 2006-07-07.

When was the information pertaining to Jeanne C. Selby most recently updated or revised?

The details related to Jeanne C. Selby, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-09.

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