Provider Demographics
NPI:1710778501
Name:SELDEN PSYCH, LLC
Entity type:Organization
Organization Name:SELDEN PSYCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SELDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-209-3390
Mailing Address - Street 1:1735 MARKET ST
Mailing Address - Street 2:STE 125, #307
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103
Mailing Address - Country:US
Mailing Address - Phone:267-209-3390
Mailing Address - Fax:267-930-6250
Practice Address - Street 1:1735 MARKET ST
Practice Address - Street 2:STE 125, #307
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103
Practice Address - Country:US
Practice Address - Phone:267-209-3390
Practice Address - Fax:267-930-6250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health