Provider Demographics
NPI:1932406089
Name:SELINER, ARLYN KRISTINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:ARLYN
Middle Name:KRISTINE
Last Name:SELINER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 OAK CREEK DR.
Mailing Address - Street 2:UNIT D
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-0709
Mailing Address - Country:US
Mailing Address - Phone:909-260-6579
Mailing Address - Fax:
Practice Address - Street 1:2835 OAK CREEK DR.
Practice Address - Street 2:UNIT D
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-0709
Practice Address - Country:US
Practice Address - Phone:909-260-6579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW25241104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker