Individual
RICHARD SELZNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
110 MARTER AVE STE 506, MOORESTOWN, NJ 08057
(856) 763-4900
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
S102390
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
35SI00239000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2030815
UNITED HEALTHCARE
NJ
01
—
26129
UNIVERSITY HEALTH PLAN
NJ
01
—
3K5451
HEALTHNET, INC
NJ
01
—
41023
AETNA US HEALTHCARE
NJ
05
—
6859801
—
NJ
01
—
91193
AMERIGROUP
NJ
01
—
P2704835
OXFORD
NJ
Enumeration date
10/16/2006
Last updated
04/03/2019
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