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Organization

JILL A. SELBACH, PH.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JILL ANN SELBACH PH.D. (CLINICAL PSYCHOLOGIST)
(954) 618-8412
Entity
Organization

Contact information

Practice address
3650 N FEDERAL HWY, 215, LIGHTHOUSE POINT, FL 33064-6649
(954) 618-8412
(954) 782-8389
Mailing address
3650 N FEDERAL HWY, 215, LIGHTHOUSE POINT, FL 33064-6649
(954) 618-8412
(954) 782-8389

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6375
FL

Other

Enumeration date
12/06/2011
Last updated
12/06/2011
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