Provider Demographics
NPI:1902234982
Name:SALLUM, NAJLA PONTES (MSW)
Entity Type:Individual
Prefix:
First Name:NAJLA
Middle Name:PONTES
Last Name:SALLUM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:NAJLA
Other - Middle Name:SALLUM
Other - Last Name:COSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1761 W HILLSBORO BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1561
Mailing Address - Country:US
Mailing Address - Phone:954-513-8037
Mailing Address - Fax:
Practice Address - Street 1:1761 W HILLSBORO BLVD STE 202
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1561
Practice Address - Country:US
Practice Address - Phone:954-513-8037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-29
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist