Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 37PC00373400 | NJ |
NPI | 1013173657 |
---|---|
Provider Name | Samina Salahuddin |
First Address | Clifton, NJ 07012-1009 |
Second Address | Clifton, NJ 07012-2314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2008 |
Last Update Date | 05/08/2008 |