Provider Demographics
NPI:1932289055
Name:REDDING, SALEM ALEXANDER (MSW)
Entity Type:Individual
Prefix:
First Name:SALEM
Middle Name:ALEXANDER
Last Name:REDDING
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 EAST PALMDALE BLVD SUITE A
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-3405
Mailing Address - Country:US
Mailing Address - Phone:661-223-3800
Mailing Address - Fax:
Practice Address - Street 1:2323 EAST PALMDALE BLVD. SUITE A
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550
Practice Address - Country:US
Practice Address - Phone:661-223-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25786101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health