Provider Demographics
NPI:1730646928
Name:SALTZ, LYNNE FELDMAN (LICSW)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:FELDMAN
Last Name:SALTZ
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7525 E GAINEY RANCH RD UNIT 179
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1609
Mailing Address - Country:US
Mailing Address - Phone:508-932-2850
Mailing Address - Fax:
Practice Address - Street 1:7525 E GAINEY RANCH RD UNIT 179
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1609
Practice Address - Country:US
Practice Address - Phone:508-932-2850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10208211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical