Provider Demographics
NPI:1194928937
Name:SELLINGER, JOHN JOSEPH (PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:SELLINGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5403
Mailing Address - Country:US
Mailing Address - Phone:203-843-4138
Mailing Address - Fax:
Practice Address - Street 1:VA CONNECTICUT HEALTHCARE SYSTEM
Practice Address - Street 2:950 CAMPBELL AVENUE (116B)
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-2700
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist