Provider Demographics
NPI:1942355870
Name:SALZMAN, JOAN M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:M
Last Name:SALZMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 DEER RUN
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801
Mailing Address - Country:US
Mailing Address - Phone:203-948-7510
Mailing Address - Fax:928-447-7500
Practice Address - Street 1:BEHAVIORAL MEDICINE & COUNSELING 20 GERMANTOWN RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:203-791-2063
Practice Address - Fax:203-790-0010
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001188101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional