Doctor Name: | DR. XAVIER F. SALAZAR |
NPI Number: | 1881802197 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | PSY 18742 |
Business Practice Address: | 7601 Imperial Hwy 800 West Annex Downey, CA - 902423456 |
Business Phone Number: | 5624018130 |
Business Fax Number: | |
Mailing Address: | 7600 W Manchester Ave, Box 1219 PLAYA DEL REY |
State: | CA |
Postal Code: | 902938451 |
Phone Number: | 3105290968 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PSY 18742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |