Provider Demographics
NPI:1922463330
Name:SAAH, SALOME (MS)
Entity Type:Individual
Prefix:
First Name:SALOME
Middle Name:
Last Name:SAAH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7639 BROOKHAVEN RD
Mailing Address - Street 2:APT 2
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-2023
Mailing Address - Country:US
Mailing Address - Phone:626-476-5691
Mailing Address - Fax:
Practice Address - Street 1:7639 BROOKHAVEN RD
Practice Address - Street 2:APT 2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2023
Practice Address - Country:US
Practice Address - Phone:626-476-5691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH002878101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health