Doctor Name: | MR. ANTHONY RUSSELL SALUZZO |
NPI Number: | 1003945064 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 3320 Carrie Dr Clarksville, TN - 370425854 |
Business Phone Number: | 9319207241 |
Business Fax Number: | |
Mailing Address: | 3320 Carrie Dr, CLARKSVILLE |
State: | TN |
Postal Code: | 370425854 |
Phone Number: | 9319207241 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |