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Individual

DR. CHRISTINE L. B. SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
6 STATE ST STE 208, BANGOR, ME 04401-5136
(207) 299-2552
Mailing address
6 STATE ST STE 208, BANGOR, ME 04401-5136
(207) 299-2552

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1260
ME
103TE1100X
Exercise & Sports Psychologist
PS1260
ME

Other

Enumeration date
10/12/2007
Last updated
04/15/2014
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