Healthcare Provider Details

I. General information

NPI: 1952028052
Provider Name (Legal Business Name): MARCI SALTZMAN PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 11/03/2022
Certification Date: 11/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E JOPPA RD STE 203
TOWSON MD
21286-3107
US

IV. Provider business mailing address

211 E LAKE AVE
BALTIMORE MD
21212-2539
US

V. Phone/Fax

Practice location:
  • Phone: 443-269-7835
  • Fax:
Mailing address:
  • Phone: 443-977-9126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARCI SALTZMAN
Title or Position: OWNER/PSYCHOTHERAPOST
Credential: LCSW-C
Phone: 443-269-7835