Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY20857 | CA |
Y | 103T00000X | Psychologist | PSY20857 | CA |
NPI | 1013036201 |
---|---|
Provider Name | Dr. Adrienne Erica Salick |
First Address | Los Angeles, CA 90048-5901 |
Second Address | Los Angeles, CA 90066-5214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/07/2007 |