MEDICARE: ROBERT G SALOMON AMFT, APCC

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	AMFT138614	CA

General Provider Information

NPI Number	:	1821853482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT G SALOMON AMFT, APCC

Provider Business Mailing Address
First Line	:	515 RED ROSE LN APT 12
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93109-1558
Country	:	US
Telephone Number	:	650-483-9144
Fax Number	:

Provider Business Practice Location Address
First Line	:	1482 E VALLEY RD STE 17
Second Line	:
City	:	MONTECITO
State	:	CA
Zip	:	93108-1200
Country	:	US
Telephone Number	:	805-705-0614
Fax Number	:

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

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	02/13/2024

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