Provider Demographics
NPI:1467683102
Name:SALISBURY, JENNIFER BETH GALVIN (DO)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BETH GALVIN
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 DOW RD
Mailing Address - Street 2:
Mailing Address - City:ORRINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04474-3539
Mailing Address - Country:US
Mailing Address - Phone:508-930-5463
Mailing Address - Fax:
Practice Address - Street 1:283 DOW RD
Practice Address - Street 2:
Practice Address - City:ORRINGTON
Practice Address - State:ME
Practice Address - Zip Code:04474-3539
Practice Address - Country:US
Practice Address - Phone:207-300-3855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDO24062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry