Provider Demographics
NPI:1235614892
Name:SALERNO, JOSEPH D (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:D
Last Name:SALERNO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 TEMPLE PL
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3223
Mailing Address - Country:US
Mailing Address - Phone:908-456-5637
Mailing Address - Fax:908-543-1055
Practice Address - Street 1:317 TEMPLE PL
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3223
Practice Address - Country:US
Practice Address - Phone:908-456-5637
Practice Address - Fax:908-543-1055
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-30
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022696103T00000X
CAPSY29798103T00000X
PAPS018711103T00000X
FLPY10712103T00000X
NJ35SI100595000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist