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NPI Code Detail

MEDICARE: EMILY J GEORGIA SALIVAR PHD

MEDICARE:   EMILY J GEORGIA SALIVAR  PHD
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
1103T00000XPsychologistPY10305FL

General Provider Information

NPI Number : 1659977932
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY J GEORGIA SALIVAR PHD
Provider Business Mailing Address
First Line : 6576 WHISPERING WIND WAY
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-3521
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6576 WHISPERING WIND WAY
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33484-3521
Country : US
Telephone Number : 954-574-2799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2020
Last Update Date : 12/10/2020

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Directions to “ EMILY J GEORGIA SALIVAR PHD” Practice Location

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