Healthcare Provider Details

I. General information

NPI: 1235044413
Provider Name (Legal Business Name): HADI N/A SALMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7621 W MORROW CIR
DEARBORN MI
48126-1154
US

IV. Provider business mailing address

7621 W MORROW CIR
DEARBORN MI
48126-1154
US

V. Phone/Fax

Practice location:
  • Phone: 313-605-5747
  • Fax:
Mailing address:
  • Phone: 313-605-5747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number455298004985
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: