Provider Demographics
NPI:1336453695
Name:SALSMAN, NICHOLAS L (PHD, ABPP)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:L
Last Name:SALSMAN
Suffix:
Gender:M
Credentials:PHD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 VICTORY PKWY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45207-6511
Mailing Address - Country:US
Mailing Address - Phone:513-745-4289
Mailing Address - Fax:513-745-3327
Practice Address - Street 1:3800 VICTORY PKWY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45207-6511
Practice Address - Country:US
Practice Address - Phone:513-745-4289
Practice Address - Fax:513-745-3327
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6380103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical