Provider Demographics
NPI:1558536250
Name:SALZMAN, DEBRA GAYLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:GAYLE
Last Name:SALZMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:DEBRA
Other - Middle Name:GAYLE
Other - Last Name:BLUMBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:35 CLYDE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5033
Mailing Address - Country:US
Mailing Address - Phone:732-873-1212
Mailing Address - Fax:732-873-2584
Practice Address - Street 1:35 CLYDE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5033
Practice Address - Country:US
Practice Address - Phone:732-873-1212
Practice Address - Fax:732-873-2584
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00316000103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical