Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS006030L | PA |
Y | 103T00000X | Psychologist | PS006030L | PA |
NPI | 1003901919 |
---|---|
Provider Name | Dr. Linda Marie Salamone-Genovese |
First Address | Huntingdon Valley, PA 19006-5441 |
Second Address | Huntingdon Valley, PA 19006-5441 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |