Healthcare Provider Details

I. General information

NPI: 1629915012
Provider Name (Legal Business Name): MAIA SELINGER SIDON PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 MONROE ST STE B
DENVER CO
80206-5669
US

IV. Provider business mailing address

250 EUDORA ST
DENVER CO
80220-5720
US

V. Phone/Fax

Practice location:
  • Phone: 303-968-7236
  • Fax:
Mailing address:
  • Phone: 303-968-7236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4032
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: