Provider Demographics
NPI:1255511523
Name:SELBY, ROBERT F JR (LMFT,LPC,NCC,CT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:SELBY
Suffix:JR
Gender:M
Credentials:LMFT,LPC,NCC,CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10560 AIRLINE HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4109
Mailing Address - Country:US
Mailing Address - Phone:225-223-1497
Mailing Address - Fax:225-293-4322
Practice Address - Street 1:10560 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4109
Practice Address - Country:US
Practice Address - Phone:225-223-1497
Practice Address - Fax:225-293-4322
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA38101YM0800X
LA2359101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health