Provider Demographics
NPI:1295208981
Name:ABDELRAHMANABDALLA, SALMA ELTAHIR
Entity type:Individual
Prefix:MISS
First Name:SALMA
Middle Name:ELTAHIR
Last Name:ABDELRAHMANABDALLA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 ROANOKE AVE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-3701
Mailing Address - Country:US
Mailing Address - Phone:252-541-1416
Mailing Address - Fax:
Practice Address - Street 1:1023 ROANOKE AVE.
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-6875
Practice Address - Country:US
Practice Address - Phone:425-428-7249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-06
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2532103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst