Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 3515 | MD |
N | 103TC0700X | Clinical Psychologist | 3515 | MD |
Y | 103TS0200X | School Psychologist | 11196 | DC |
NPI | 1063841690 |
---|---|
Provider Name | Dr. Patricia Porro-Salinas |
First Address | Washington, DC 20002-3361 |
Second Address | Washington, DC 20002-3361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2013 |
Last Update Date | 04/11/2013 |