Provider Demographics
NPI:1811694896
Name:KURLANDSKI, SELIN (BSC, MSC, PHD)
Entity type:Individual
Prefix:DR
First Name:SELIN
Middle Name:
Last Name:KURLANDSKI
Suffix:
Gender:F
Credentials:BSC, MSC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 S DIXIE HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5423
Mailing Address - Country:US
Mailing Address - Phone:954-505-7169
Mailing Address - Fax:
Practice Address - Street 1:134 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5407
Practice Address - Country:US
Practice Address - Phone:954-505-7169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9873103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent