Provider Demographics
NPI:1295410496
Name:ODMAN, SELIN (PSYD)
Entity type:Individual
Prefix:
First Name:SELIN
Middle Name:
Last Name:ODMAN
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 1:7108 E LOWRY BLVD APT 4151
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7343
Mailing Address - Country:US
Mailing Address - Phone:404-421-7692
Mailing Address - Fax:
Practice Address - Street 1:7403 CHURCH RANCH BLVD UNIT 107
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-5490
Practice Address - Country:US
Practice Address - Phone:720-848-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No103T00000XBehavioral Health & Social Service ProvidersPsychologist