Provider Demographics
NPI:1326837055
Name:ABDISALAN, SALMO MOHAMED
Entity type:Individual
Prefix:
First Name:SALMO
Middle Name:MOHAMED
Last Name:ABDISALAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2748 E 82ND ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-1365
Mailing Address - Country:US
Mailing Address - Phone:952-600-4009
Mailing Address - Fax:
Practice Address - Street 1:2748 E 82ND ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1365
Practice Address - Country:US
Practice Address - Phone:952-600-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst