Provider Demographics
NPI:1134636764
Name:SELDEN, CATHERINE RENEE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:RENEE
Last Name:SELDEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 N CAMDEN DR FL 4
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4408
Mailing Address - Country:US
Mailing Address - Phone:310-360-0080
Mailing Address - Fax:
Practice Address - Street 1:433 N CAMDEN DR FL 4
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4408
Practice Address - Country:US
Practice Address - Phone:310-360-0080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15943103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical