Healthcare Provider Details

I. General information

NPI: 1346294535
Provider Name (Legal Business Name): A MICHAEL SALINGER MA
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S WASHINGTON ST
CLINTON MO
64735-2033
US

IV. Provider business mailing address

135 S WASHINGTON ST
CLINTON MO
64735-2033
US

V. Phone/Fax

Practice location:
  • Phone: 660-885-7090
  • Fax: 660-885-7787
Mailing address:
  • Phone: 660-885-7090
  • Fax: 660-885-7787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY 01768
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: