Individual
ASHLEY ELIZABETH SELKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2296
(631) 261-4400
Mailing address
66 BAY AVE, HALESITE, NY 11743-1208
(585) 662-3200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
022818-1
NY
Other
Enumeration date
09/26/2018
Last updated
10/11/2023
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