Selby Psychological Services, Pllc | |
6 State St Suite 208 Bangor ME 04401-5112 | |
(207) 262-9009 | |
(207) 262-9008 |
Full Name | Selby Psychological Services, Pllc |
---|---|
Speciality | Psychologist - Clinical |
Location | 6 State St, Bangor, Maine |
Authorized Official Name and Position | Brian Ward Selby (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 2072629009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Selby Psychological Services, Pllc 6 State St Suite 208 Bangor ME 04401-5112 Ph: (207) 262-9009 | Selby Psychological Services, Pllc 6 State St Suite 208 Bangor ME 04401-5112 Ph: (207) 262-9009 |
NPI Number | 1992999627 |
---|---|
Provider Enumeration Date | 09/06/2007 |
Last Update Date | 09/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992999627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS1017 (Maine) | Primary |
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