Doctor Name: | DR. SALVADOR G. MOROTE SANCHEZ |
NPI Number: | 1154593473 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D., M.A., LCPC |
License Number: | 180.006242 |
Business Practice Address: | 10001 Grand Ave Franklin Park, IL - 601312563 |
Business Phone Number: | 8474510330 |
Business Fax Number: | |
Mailing Address: | 5030 W Dakin St, CHICAGO |
State: | IL |
Postal Code: | 606412608 |
Phone Number: | 7737258432 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2008 |
NPI Last Update Date: | 03/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 180.006242 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |