Provider Demographics
NPI:1043760176
Name:SALEWSKY, BARRY (BSN)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:SALEWSKY
Suffix:
Gender:M
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2015
Mailing Address - Street 2:
Mailing Address - City:CHILHOWIE
Mailing Address - State:VA
Mailing Address - Zip Code:24319-2015
Mailing Address - Country:US
Mailing Address - Phone:276-243-6085
Mailing Address - Fax:
Practice Address - Street 1:619 SHELBY ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-2240
Practice Address - Country:US
Practice Address - Phone:276-243-6085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000019291251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health