MEDICARE: MS. LYNN REID SALSBURY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW016463	PA

General Provider Information

NPI Number	:	1871699694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LYNN REID SALSBURY LCSW

Provider Business Mailing Address
First Line	:	1209 NEWBURY HIGHLAND
Second Line	:
City	:	BRIDGEVILLE
State	:	PA
Zip	:	15017-2140
Country	:	US
Telephone Number	:	412-530-5343
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 WASHINGTON RD STE 504
Second Line	:
City	:	MT LEBANON
State	:	PA
Zip	:	15228-1953
Country	:	US
Telephone Number	:	412-530-5343
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	05/12/2016

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