| Jennifer Selden, Ph.d., Llc | |
|
495 Gold Star Hwy Suite 200 Groton CT 06340-6228 | |
| (860) 449-0299 | |
| Not Available |
| Full Name | Jennifer Selden, Ph.d., Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 495 Gold Star Hwy, Groton, Connecticut |
| Authorized Official Name and Position | Jennifer Selden (SOLE MEMBER) |
| Authorized Official Contact | 8604490299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Selden, Ph.d., Llc 495 Gold Star Hwy Suite 200 Groton CT 06340-6228 Ph: () - | Jennifer Selden, Ph.d., Llc 495 Gold Star Hwy Suite 200 Groton CT 06340-6228 Ph: (860) 449-0299 |
| NPI Number | 1649596214 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 04/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649596214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 2631 (Connecticut) | Primary |
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