Individual
MS. ANN A SALO
Active
Individual
MS. ANN A SALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., ABPN
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
23377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A32L
BCBS
TX
05
—
031662201
—
TX
01
—
101505000
DEPARTMENT OF LABOR ID
TX
01
—
129969
VALUE OPTIONS
TX
01
—
4360754
AETNA
TX
01
—
742574940
TAX IDENTIFICATION NUMBER
TX
Enumeration date
12/11/2006
Last updated
07/08/2007
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