Provider Demographics
NPI:1851884399
Name:SALEH, YASMINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:YASMINE
Middle Name:
Last Name:SALEH
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 1:340 S LEMON AVE # 2051
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2706
Mailing Address - Country:US
Mailing Address - Phone:617-953-6983
Mailing Address - Fax:
Practice Address - Street 1:11 LEBABON STREET
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:MOHANDISEEN
Practice Address - Zip Code:12411
Practice Address - Country:EG
Practice Address - Phone:617-953-6983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-10
Last Update Date:2018-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9634103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist