NPI 1104908706

Jill E Salem, PHDHSPP

Practitioner Clinical Neuropsychologist Lafayette, IN

Practice location

Address: 1415 Salem St Suite 102, Lafayette, IN 47904-4100
Phone: (765) 742-1816
Fax: (765) 742-2557
Mailing address: 1607 Ravinia Rd, West Lafayette, IN 47906-2361

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 20041615A (IN)

Other Clinical Neuropsychologist providers in Indiana →

Registry record

NPI: 1104908706
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Oct 2006
Record last updated: 26 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.