Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | B10000965 | DE |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY1000849 | DC |
NPI | 1124460290 |
---|---|
Provider Name | Dr. Katherine S Salamon |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2013 |
Last Update Date | 11/08/2014 |