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Contact Information

LEO J SELM III, PSY. D.
BOX 268
PITMAN, NJ08071
 Phone: 609-922-0980
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEO J SELM III · (Male)

NPI # 1598054900
Status Active
Credentials PSY. D.
Entity Individual
Enumeration date 04/06/2011
Last updated 12/16/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 35S100450200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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