Provider Demographics
NPI:1962260786
Name:SALAH, ASMA SALAD (BSW)
Entity type:Individual
Prefix:
First Name:ASMA
Middle Name:SALAD
Last Name:SALAH
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:778 BERRY ST APT 409
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-0016
Mailing Address - Country:US
Mailing Address - Phone:612-205-1987
Mailing Address - Fax:
Practice Address - Street 1:778 BERRY ST APT 409
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-0016
Practice Address - Country:US
Practice Address - Phone:612-205-1987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator