Provider Demographics
NPI:1386937894
Name:SALTZMAN, KIMBERLEA ANN (LPC-INTERN, NCC)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLEA
Middle Name:ANN
Last Name:SALTZMAN
Suffix:
Gender:F
Credentials:LPC-INTERN, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 SPINDLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-6021
Mailing Address - Country:US
Mailing Address - Phone:281-989-5106
Mailing Address - Fax:281-419-5251
Practice Address - Street 1:1733 WOODSTEAD CT
Practice Address - Street 2:STE 101
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3401
Practice Address - Country:US
Practice Address - Phone:281-419-5255
Practice Address - Fax:281-419-5251
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67440101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional