Jill A Selbach


Address: 2211 Ne 36th St, Suite 202, Lighthouse Point, FL 33064-7500

Jill A Selbach (NPI# 1922132331, PAC ID# 4981852787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1922132331
PAC ID by PECOS 4981852787
Professional Enrollment ID I20121018000117
Full Name Jill A Selbach
Address 2211 Ne 36th St
Suite 202
Lighthouse Point
FL 33064-7500
Gender F
Graduation Year 2000
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2211 Ne 36th St, Suite 202, Lighthouse Point, FL 33064-7500

Organization Information

Office Location

Street Address 2211 NE 36TH ST
SUITE 202
City LIGHTHOUSE POINT
State FL
Zip 33064-7500

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Competitor

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City LIGHTHOUSE POINT
Zip Code 33064
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty LIGHTHOUSE POINT + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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