Provider Demographics
NPI:1851081798
Name:SELDON, TONI NADINE
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:NADINE
Last Name:SELDON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:NADINE
Other - Last Name:ULIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3035 S. MARYLAND PKWY
Mailing Address - Street 2:N/A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109
Mailing Address - Country:US
Mailing Address - Phone:702-857-8800
Mailing Address - Fax:
Practice Address - Street 1:3035 S. MARYLAND PKWY
Practice Address - Street 2:N/A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109
Practice Address - Country:US
Practice Address - Phone:702-857-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral