| Doctor Name: | SAMINA SALAHUDDIN |
| NPI Number: | 1013173657 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 37PC00373400 |
| Business Practice Address: | 1149 Blommfield Ave. Creative Intervention Clifton, NJ - 070122314 |
| Business Phone Number: | 9733652300 |
| Business Fax Number: | 9733650868 |
| Mailing Address: | 289 Mount Prospect Ave, CLIFTON |
| State: | NJ |
| Postal Code: | 070121009 |
| Phone Number: | 9732467802 |
| Fax Number: | 9734702325 |
| NPI Enumeration Date: | 08/04/2008 |
| NPI Last Update Date: | 08/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 37PC00373400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |