Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | PSB94022530 | CA |
N | 102L00000X | Psychologist | ||
N | 103T00000X | Psychologist | ||
Y | 103G00000X | Clinical Psychologist | PSY30852 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY30852 | CA |
NPI | 1003225707 |
---|---|
Provider Name | Dr. Salma Wahidi |
First Address | Canyon Country, CA 91351-1015 |
Second Address | Santa Clarita, CA 91350-2947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2014 |
Last Update Date | 29/04/2019 |