IndividualActive
Jill Salem, PH.D., HSPP
NPI 1104908706 · Clinical Neuropsychologist · Lafayette, IN
Provider details
- NPI number
- 1104908706
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D., HSPP
- Sex
- Female
- Sole proprietor
- No
- License
- 20041615A (IN)
Practice location
1415 Salem St
Suite 102
Lafayette, IN 47904-4100
Phone: (765) 742-1816
Fax: (765) 742-2557
Mailing address
1607 Ravinia Rd
West Lafayette, IN 47906-2361
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2010-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.