Individual
DR. MICHAEL GERARD SELDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8761
(214) 590-1491
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0624
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34549
TX
103TC0700X
Clinical Psychologist
071007630
IL
103TC0700X
Clinical Psychologist
34549
TX
Other
Enumeration date
03/02/2009
Last updated
03/17/2018
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