Doctor Name: | MR. BRETT SALKIN |
NPI Number: | 1114284833 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | C . 0003727 |
Business Practice Address: | 29000 Emery Rd Chagrin Falls, OH - 440221616 |
Business Phone Number: | 2165910700 |
Business Fax Number: | 2165910330 |
Mailing Address: | 29000 Emery Road, ORANGE VILLAGE |
State: | OH |
Postal Code: | 440221616 |
Phone Number: | 2165910700 |
Fax Number: | 2165910330 |
NPI Enumeration Date: | 04/19/2012 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C . 0003727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |