| Salam Psychiatric Services, P.l.c | |
|
20 Technology Drive # 9 Brattleboro VT 05301 | |
| (802) 246-0781 | |
| (802) 246-0742 |
| Full Name | Salam Psychiatric Services, P.l.c |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 20 Technology Drive, Brattleboro, Vermont |
| Authorized Official Name and Position | Saba Maheen Salam (MANAGER) |
| Authorized Official Contact | 8022460781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salam Psychiatric Services, P.l.c 20 Technology Dri # 9 Brattleboro VT 05301 Ph: (802) 246-0781 | Salam Psychiatric Services, P.l.c 20 Technology Drive # 9 Brattleboro VT 05301 Ph: (802) 246-0781 |
| NPI Number | 1841350899 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 10/08/2010 |
| Medicare PECOS PAC ID | 6305853334 |
|---|---|
| Medicare Enrollment ID | O20060315000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841350899 | NPI | - | NPPES |
| SALA00069122 | Other | VT | BCBSVT GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 42-0010331 (Vermont) | Primary |
| Provider Name | Saba M Salam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043207947 PECOS PAC ID: 8527002997 Enrollment ID: I20051201000219 |
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