Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 071.009404 | IL |
Y | 103TC0700X | Clinical Psychologist | 071.009404 | IL |
NPI | 1003368465 |
---|---|
Provider Name | Dr. Melissa D. Salinas |
First Address | Hickory Hills, IL 60457-1607 |
Second Address | Burr Ridge, IL 60527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2016 |
Last Update Date | 01/11/2016 |