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General NPI Number Information
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NPI Number | 1548896236
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Entity Type | Organization
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Legal Business Name | GREGORY P SALERNO PHD A PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 03/13/2020
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 390 SPAR AVE STE 205
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City | SAN JOSE
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State | CA
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Zip | 95117-1644
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Country | US
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Telephone | 408-243-4776
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Fax | 408-243-1593
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Provider Business Mailing Address
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Address Line | 390 SPAR AVE STE 205
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City | SAN JOSE
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State | CA
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Zip | 95117-1644
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Country | US
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Telephone | 408-243-4776
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Fax | 408-243-1593
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. GREGORY PETER SALERNO
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Credential | PH.D.
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Telephone | 408-243-4776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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