Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY5629 | FL |
Y | 103T00000X | Psychologist | PY5629 | FL |
NPI | 1003914870 |
---|---|
Provider Name | Dr. Steven W Saldukas |
First Address | Naples, FL 34109-7874 |
Second Address | Naples, FL 34109-7874 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 15/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1225282023 | CORPORATE NPI (01) | FL |
761632500 | (05) | FL |