Provider Demographics
NPI:1801307459
Name:SALEEM, FARIDA ELIZABETH (MS, LMFT)
Entity type:Individual
Prefix:MRS
First Name:FARIDA
Middle Name:ELIZABETH
Last Name:SALEEM
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MRS
Other - First Name:FARIDA
Other - Middle Name:ELIZABETH
Other - Last Name:BOYER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:104 BALA AVE
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-3038
Mailing Address - Country:US
Mailing Address - Phone:215-500-1372
Mailing Address - Fax:
Practice Address - Street 1:104 BALA AVE
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3038
Practice Address - Country:US
Practice Address - Phone:215-500-1372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-22
Last Update Date:2017-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000958106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist