Individual
JEFF SALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.CLIN.PSY. BSC
Contact information
Practice address
3S140 BARKLEY AVE, WARRENVILLE, IL 60555-1505
(331) 431-4006
Mailing address
142 S MONTCLAIR AVE, GLEN ELLYN, IL 60137-6357
(224) 227-0497
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
071007484
IL
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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