| Doctor Name: | DR. MARY JO SALCEDO |
| NPI Number: | 1275850257 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY-D |
| License Number: | 3675 |
| Business Practice Address: | Ubr. Brisas De Montecasino 421 Toa Alta, PR - 00953 |
| Business Phone Number: | 7874593605 |
| Business Fax Number: | |
| Mailing Address: | Ubr. Brisas De Montecasino, 421 TOA ALTA |
| State: | PR |
| Postal Code: | 00953 |
| Phone Number: | 7874593605 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2010 |
| NPI Last Update Date: | 04/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |