Provider Demographics
NPI:1952558942
Name:SALZMAN, NEAL (MA)
Entity Type:Individual
Prefix:MR
First Name:NEAL
Middle Name:
Last Name:SALZMAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W PAR ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-3806
Mailing Address - Country:US
Mailing Address - Phone:407-921-0993
Mailing Address - Fax:
Practice Address - Street 1:875 CONCOURSE PKWY S
Practice Address - Street 2:220
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-6113
Practice Address - Country:US
Practice Address - Phone:407-921-0993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9261101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health