Provider Demographics
NPI:1053334409
Name:SELTZER, REENA LEVINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:REENA
Middle Name:LEVINE
Last Name:SELTZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DICKINSON DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-1111
Mailing Address - Country:US
Mailing Address - Phone:203-393-3195
Mailing Address - Fax:
Practice Address - Street 1:5 DICKINSON DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-1111
Practice Address - Country:US
Practice Address - Phone:203-393-3195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001287103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical