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NPI Code Detail

MEDICARE: ALEXANDRIA GRAZIA SALERNO PSY.D.

MEDICARE: ALEXANDRIA GRAZIA SALERNO PSY.D.
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
1225C00000XRehabilitation Counselor
2390200000XStudent in an Organized Health Care Education/Training Program
3103TC0700XClinical Psychologist071.010241IL

General Provider Information

NPI Number : 1194244152
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA GRAZIA SALERNO PSY.D.
Provider Business Mailing Address
First Line : 1200 HARGER RD STE 600
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1820
Country : US
Telephone Number : 630-571-5750
Fax Number :
Provider Business Practice Location Address
First Line : 1200 HARGER RD STE 600
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1820
Country : US
Telephone Number : 630-571-5750
Fax Number : 630-571-5751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2017
Last Update Date : 01/28/2020

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