Dr. Michael Gerard Selders, Ph.D.
Psychologist in Dallas, TX. Individual provider (NPI-1).
NPI number1851531925
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1851531925
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Gerard Selders
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2009
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 34549 | TX | Yes |
| 103TC0700X | Psychologist, Clinical | 34549 | TX | |
| 103TC0700X | Psychologist, Clinical | 071007630 | IL |
Practice location
5200 Harry Hines BlvdDallas, TX 75235-7709
Phone 214-590-8761 · Fax 214-590-1491
Mailing address
Po Box 845347Dallas, TX 75284-5347
Phone 214-645-0624 · Fax 214-645-0078
Other practice locations
2602 Martin Luther King Jr Blvd
Dallas, TX 75215-2309
Dallas, TX 75215-2309
Phone 214-421-0821 · Fax 214-421-0813
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