Healthcare Provider Details

I. General information

NPI: 1871699694
Provider Name (Legal Business Name): LYNN REID SALSBURY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 05/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 WASHINGTON RD STE 504
MT LEBANON PA
15228-1953
US

IV. Provider business mailing address

1209 NEWBURY HIGHLAND
BRIDGEVILLE PA
15017-2140
US

V. Phone/Fax

Practice location:
  • Phone: 412-530-5343
  • Fax:
Mailing address:
  • Phone: 412-530-5343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW016463
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: