Provider Demographics
NPI:1659503647
Name:SALEM, SALMA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SALMA
Middle Name:
Last Name:SALEM
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42267 FABER CT
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-7220
Mailing Address - Country:US
Mailing Address - Phone:858-245-9955
Mailing Address - Fax:
Practice Address - Street 1:42267 FABER CT
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-7220
Practice Address - Country:US
Practice Address - Phone:858-245-9955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0210351103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical