Provider Demographics
NPI:1003247438
Name:SELINGER, NORA B (LPC)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:B
Last Name:SELINGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 WILCOX RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:STONINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06378-2614
Mailing Address - Country:US
Mailing Address - Phone:860-572-4969
Mailing Address - Fax:860-572-5767
Practice Address - Street 1:107 WILCOX RD
Practice Address - Street 2:SUITE 111
Practice Address - City:STONINGTON
Practice Address - State:CT
Practice Address - Zip Code:06378-2614
Practice Address - Country:US
Practice Address - Phone:860-572-4969
Practice Address - Fax:860-572-5767
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002410101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional