MEDICARE: GENIFER SALANDY

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
1	103TS0200X	School Psychologist		DC

General Provider Information

NPI Number	:	1447971544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENIFER SALANDY

Provider Business Mailing Address
First Line	:	4477 B ST SE APT T2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4388
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4477 B ST SE APT T2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-4388
Country	:	US
Telephone Number	:	202-575-1511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2022
Last Update Date	:	09/07/2022

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Directions to “ GENIFER SALANDY ” Practice Location

Language	Start Address	Practice Location

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