Selke, Gregg

Selke, Gregg is an individual health care provider with primary practice located at 593 Eddy St Pob 430, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Selke, Gregg can be contacted via phone (401) 444-4500.

Contact Information

Primary practice address
593 Eddy St Pob 430 Providence RI 02903-4923
Phone: (401) 444-4500
Fax: (401) 444-6643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS01024 Rhode Island
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01024 Rhode Island

Profile Details

NPI number 1447458708
LBN Legal business name Selke, Gregg
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Feb 5th, 2013 - about 11 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 1447458708 NPPES
Rhode Island Other PS01024 STATE LICENSE

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