Individual
DR. MICHAEL SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., MCP
Contact information
Practice address
1201 LEFF ST, SAN LUIS OBISPO, CA 93401-3711
(805) 439-0377
Mailing address
1201 LEFF ST, SAN LUIS OBISPO, CA 93401-3711
(805) 439-0377
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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