Individual
ELIZABETH COURTNEY-SEIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100B DANBURY ROAD, SUITE 105B, RIDGEFIELD, CT 06877
(203) 297-8583
Mailing address
100B DANBURY ROAD, SUITE 105B, RIDGEFIELD, CT 06877
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
020668
NY
103TC0700X
Clinical Psychologist
Primary
3604
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020668
LICENSE NUMBER
NY
01
—
3604
LICENSE NUMBER
CT
Enumeration date
07/15/2014
Last updated
10/25/2017
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