Individual
JOHN M SALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD LP
Contact information
Practice address
8550 HUDSON BLVD, HEALTHPARTNERS REGIONS BEHAVIORAL HEALTH-WOODBURY, LAKE ELMO, MN 55042-8706
(651) 254-8580
(651) 730-1700
Mailing address
8100 34TH AVE S, MC21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7172
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4324
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882972100
—
MN
Enumeration date
02/08/2006
Last updated
03/27/2019
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