Individual
NICOLE SELIGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
(267) 861-3685
(215) 965-1513
Mailing address
2921 HAVERFORD RD, ARDMORE, PA 19003-1816
(610) 996-8439
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019896
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/04/2020
Last updated
12/11/2024
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