| Doctor Name: | MR. RONALD MARK SALON |
| NPI Number: | 1578629440 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | R012263 |
| Business Practice Address: | 3630 Hill Blvd Suite 204 Jefferson Valley, NY - 105351502 |
| Business Phone Number: | 9149621931 |
| Business Fax Number: | |
| Mailing Address: | 235 Garth Rd, Apt.e3b SCARSDALE |
| State: | NY |
| Postal Code: | 105833917 |
| Phone Number: | 9147257636 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | R012263 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |