MEDICARE: MR. EYTAN S SALINGER LCSW

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	1041C0700X	Clinical Social Worker	C-08864	NM

Other Identifiers

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

General Provider Information

NPI Number	:	1750561551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EYTAN S SALINGER LCSW

Provider Business Mailing Address
First Line	:	2805 LAS VEGAS CT
Second Line	:	SUITE B
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-4108
Country	:	US
Telephone Number	:	575-522-5144
Fax Number	:	575-522-5177

Provider Business Practice Location Address
First Line	:	2805 LAS VEGAS CT
Second Line	:	SUITE B
City	:	LAS CRUCES
State	:	NM
Zip	:	88007-4108
Country	:	US
Telephone Number	:	575-522-5144
Fax Number	:	575-522-5177

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

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	01/26/2015

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