Provider Demographics
NPI:1780756387
Name:SALTZMAN, EARL S (PHD)
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:S
Last Name:SALTZMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:955 DAIRY ASHFORD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5310
Mailing Address - Country:US
Mailing Address - Phone:281-493-3632
Mailing Address - Fax:281-531-4126
Practice Address - Street 1:955 DAIRY ASHFORD
Practice Address - Street 2:SUITE 108
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5310
Practice Address - Country:US
Practice Address - Phone:281-493-3632
Practice Address - Fax:281-531-4126
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20999101Y00000X, 103T00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist