Provider Demographics
NPI:1184886095
Name:LINDSAY N. SALEM, PH.D., LLC
Entity type:Organization
Organization Name:LINDSAY N. SALEM, PH.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:N
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:402-477-7170
Mailing Address - Street 1:3201 S 33RD ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-5755
Mailing Address - Country:US
Mailing Address - Phone:402-477-7170
Mailing Address - Fax:402-477-7173
Practice Address - Street 1:3201 S 33RD ST
Practice Address - Street 2:SUITE D
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-5755
Practice Address - Country:US
Practice Address - Phone:402-477-7170
Practice Address - Fax:402-477-7173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE630103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty