Provider Demographics
NPI:1023165164
Name:SALTZMAN, MINDY JAN (LCSW)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:JAN
Last Name:SALTZMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7289 GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-4917
Mailing Address - Country:US
Mailing Address - Phone:561-385-5868
Mailing Address - Fax:
Practice Address - Street 1:7289 GARDEN RD
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-4917
Practice Address - Country:US
Practice Address - Phone:561-804-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW48881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical