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NPI Code Detail

MEDICARE: LETICIA SALAZAR LMFT

MEDICARE: LETICIA SALAZAR 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 TherapistMT3451FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285175000
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA SALAZAR LMFT
Provider Business Mailing Address
First Line : 1550 S DIXIE HWY STE 203
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-3034
Country : US
Telephone Number : 786-536-9714
Fax Number :
Provider Business Practice Location Address
First Line : 3501 DEL PRADO BLVD S STE 303
Second Line :
City : CAPE CORAL
State : FL
Zip : 33904-7222
Country : US
Telephone Number : 239-317-0265
Fax Number : 239-673-7681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2017
Last Update Date : 03/04/2020

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Directions to “ LETICIA SALAZAR LMFT” Practice Location

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