Individual
SUSAN M SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GC
Contact information
Practice address
201 INDUSTRIAL RD STE 410, SAN CARLOS, CA 94070-2396
(650) 249-9090
Mailing address
201 INDUSTRIAL RD STE 410, SAN CARLOS, CA 94070-2396
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
740000054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008082
—
IN
Enumeration date
04/24/2013
Last updated
04/07/2025
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