Organization
FREDRIC A. SELDIN, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRIC A. SELDIN PH.D. (PRESIDENT)
(619) 813-5923
Entity
Organization
Contact information
Practice address
7840 MISSION CENTER CT STE 102, SAN DIEGO, CA 92108-1320
(619) 813-5923
(619) 618-1795
Mailing address
7840 MISSION CENTER CT STE 102, SAN DIEGO, CA 92108-1320
(619) 813-5923
(619) 618-1795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7890440
—
CA
Enumeration date
06/12/2017
Last updated
07/21/2022
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