Provider Demographics
NPI:1386944890
Name:ABDOLSALEHI, EMON (PHD)
Entity type:Individual
Prefix:DR
First Name:EMON
Middle Name:
Last Name:ABDOLSALEHI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9163 W FLAMINGO RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-6457
Mailing Address - Country:US
Mailing Address - Phone:702-869-9188
Mailing Address - Fax:
Practice Address - Street 1:9163 W FLAMINGO RD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6457
Practice Address - Country:US
Practice Address - Phone:702-869-9188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-31
Last Update Date:2010-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health