Individual
GREGG SELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS01024
RI
103TC0700X
Clinical Psychologist
PS01024
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS01024
STATE LICENSE
RI
Enumeration date
07/10/2007
Last updated
02/05/2013
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