Individual
DR. LEO JOSEPH SELM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
BOX 268, PITMAN, NJ 08071
(609) 922-0980
Mailing address
BOX 268, PITMAN, NJ 08071
(609) 922-0980
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100450200
NJ
Other
Enumeration date
04/06/2011
Last updated
12/16/2015
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