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NPI Code Detail

MEDICARE: DR. ANN MARIE SANTOS SALAZAR PSY.D., LMFT

MEDICARE:  DR. ANN MARIE SANTOS SALAZAR  PSY.D., LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist49674CA

General Provider Information

NPI Number : 1083807499
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN MARIE SANTOS SALAZAR PSY.D., LMFT
Provider Business Mailing Address
First Line : 3517 CAMINO DEL RIO S STE 407
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4028
Country : US
Telephone Number : 619-955-8905
Fax Number : 619-955-8906
Provider Business Practice Location Address
First Line : 3517 CAMINO DEL RIO S STE 407
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4028
Country : US
Telephone Number : 619-955-8905
Fax Number : 619-955-8906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2007
Last Update Date : 10/10/2019

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Directions to “ DR. ANN MARIE SANTOS SALAZAR PSY.D., LMFT” Practice Location

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