Provider Demographics
NPI:1689861643
Name:PHILIP, SELIN (PHD)
Entity Type:Individual
Prefix:DR
First Name:SELIN
Middle Name:
Last Name:PHILIP
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 1:1908 ROBINDALE DR
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-2732
Mailing Address - Country:US
Mailing Address - Phone:215-589-3994
Mailing Address - Fax:
Practice Address - Street 1:902 RAZORBACK DR STE 5
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-2802
Practice Address - Country:US
Practice Address - Phone:906-205-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health