Selby, Joan

Selby, Joan is an sole proprietor health care provider with primary practice located at 24 Norwood Ave , Manchester MA 01944-1508. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Selby, Joan can be contacted via phone (978) 526-8391.

Contact Information

Primary practice address
24 Norwood Ave Manchester MA 01944-1508
Phone: (978) 526-8391
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4505 Massachusetts
Behavioral Health & Social Service Providers / School 103TS0200X 169861 Massachusetts

Profile Details

NPI number 1356459622
LBN Legal business name Selby, Joan
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1356459622 NPPES
Massachusetts Other W04428 B/CB/S MA PROVIDER#

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