Individual
DR. NANCY N SALLEE
Active
Individual
DR. NANCY N SALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
521
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N8486
—
NM
01
—
13507182
CAQH
—
01
—
1962530121
NATIONAL PROVIDER IDENTIFIER NUMBER
NM
01
—
220147
EDUCATIONAL PSYCHOLOGIST IIIA
NM
01
—
434659
PTAN (MEDICARE NOVITAS)
NM
01
—
601013663
PRESBYTERIAN/MAGELLAN
NM
01
—
920579500
BLUE CROSS BLUE SHIELD
NM
Enumeration date
03/01/2007
Last updated
09/26/2015
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