Conrad, Selby Martin

Conrad, Selby Martin is an individual health care provider with primary practice located at 1 Hoppin Street, Coro West, Suite 204 Bradley Hasbro Children'S Research Center, Providence RI 02903. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Conrad, Selby Martin can be contacted via phone (401) 444-6560.

Contact Information

Primary practice address
1 Hoppin Street, Coro West, Suite 204 Bradley Hasbro Children'S Research Center Providence RI 02903
Phone: (401) 444-6560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS01273 Rhode Island

Profile Details

NPI number 1831275056
LBN Legal business name Conrad, Selby Martin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated May 10th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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