Healthcare Provider Details

I. General information

NPI: 1962333609
Provider Name (Legal Business Name): SNAPDRAGON WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 STRUMMER LN
GAITHERSBURG MD
20878-4525
US

IV. Provider business mailing address

223 STRUMMER LN
GAITHERSBURG MD
20878-4525
US

V. Phone/Fax

Practice location:
  • Phone: 202-579-9778
  • Fax:
Mailing address:
  • Phone: 202-579-9778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. NICOLE SALMAN
Title or Position: CEO
Credential: PHD
Phone: 502-649-8857