Selby, Brian W

Selby, Brian W is an individual health care provider with primary practice located at 6 State St Suite 208, Bangor ME 04401-5112. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Selby, Brian W can be contacted via phone (207) 299-2442.

Contact Information

Primary practice address
6 State St Suite 208 Bangor ME 04401-5112
Phone: (207) 299-2442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS1017 Maine

Profile Details

NPI number 1194768887
LBN Legal business name Selby, Brian W
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194768887 NPPES
Maine MEDICAID 333960099
Maine Other 098303

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