Provider Demographics
NPI:1306085261
Name:SALPETER, NOAM (MSC)
Entity type:Individual
Prefix:
First Name:NOAM
Middle Name:
Last Name:SALPETER
Suffix:
Gender:M
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12651 SAN PABLO AVE UNIT 5282
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-4011
Mailing Address - Country:US
Mailing Address - Phone:510-210-3828
Mailing Address - Fax:
Practice Address - Street 1:12651 SAN PABLO AVE UNIT 5282
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-4011
Practice Address - Country:US
Practice Address - Phone:510-210-3828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-16
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT34663106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist