1801307459 NPI number — MRS. FARIDA ELIZABETH SALEEM MS, LMFT

Table of content: MRS. FARIDA ELIZABETH SALEEM MS, LMFT (NPI 1801307459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801307459 NPI number — MRS. FARIDA ELIZABETH SALEEM MS, LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALEEM
Provider First Name:
FARIDA
Provider Middle Name:
ELIZABETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BOYER
Provider Other First Name:
FARIDA
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, LMFT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1801307459
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 BALA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALA CYNWYD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19004-3038
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-500-1372
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
104 BALA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALA CYNWYD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19004-3038
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-500-1372
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2017

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MF000958 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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