Provider Demographics
NPI:1568848885
Name:SALFER, MORDECHAI TZVI (PHD)
Entity Type:Individual
Prefix:
First Name:MORDECHAI
Middle Name:TZVI
Last Name:SALFER
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 1:2220 NE 203RD TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1310
Mailing Address - Country:US
Mailing Address - Phone:216-233-0064
Mailing Address - Fax:305-470-7490
Practice Address - Street 1:2636 NE 205TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33180-1115
Practice Address - Country:US
Practice Address - Phone:305-705-2211
Practice Address - Fax:305-470-7490
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 9348103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical