MEDICARE: VERONICA V SALGADO

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	44709	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44709	OTHER	CA	LMFT

General Provider Information

NPI Number	:	1821684259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA V SALGADO

Provider Business Mailing Address
First Line	:	1625 THE ALAMEDA STE 207
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-2223
Country	:	US
Telephone Number	:	408-236-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 THE ALAMEDA STE 207
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-2223
Country	:	US
Telephone Number	:	408-236-2188
Fax Number	:

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

Provider Enumeration Date	:	12/20/2020
Last Update Date	:	12/20/2020

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Directions to “ VERONICA V SALGADO ” Practice Location

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