Healthcare Provider Details
I. General information
NPI: 1992036438
Provider Name (Legal Business Name): MEGAN BRITTANY SELTZ PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/22/2010
Last Update Date: 01/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41 E POST RD
WHITE PLAINS NY
10601-4607
US
IV. Provider business mailing address
41 EAST POST ROAD WHITE PLAINS HOSPITAL CENTER
WHITE PLAINS NY
10601
US
V. Phone/Fax
- Phone: 914-681-2805
- Fax: 914-681-2284
- Phone: 347-753-4657
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 018129 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: