MEDICARE: SARA SALMAN

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	106H00000X	Marriage & Family Therapist	AMFT128787	CA
2	101YM0800X	Mental Health Counselor
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1730701160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA SALMAN

Provider Business Mailing Address
First Line	:	PO BOX 2937
Second Line	:
City	:	CUPERTINO
State	:	CA
Zip	:	95015-2937
Country	:	US
Telephone Number	:	408-334-3420
Fax Number	:

Provider Business Practice Location Address
First Line	:	15885 LOS GATOS ALMADEN RD
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95032-3803
Country	:	US
Telephone Number	:	408-334-3420
Fax Number	:

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

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	01/27/2022

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Directions to “ SARA SALMAN ” Practice Location

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