Individual
DR. CARLOS LUIS SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 257-6877
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-6877
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0810005992
VA
103T00000X
Psychologist
0810005992
VA
Other
Enumeration date
09/01/2016
Last updated
06/26/2023
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