Individual
DAISY LIZETTE SALVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(718) 854-8370
Mailing address
3512 QUENTIN RD, BROOKLYN, NY 11234-4231
(800) 275-3243
(718) 854-8370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018031-1
NY
Other
Enumeration date
03/23/2009
Last updated
07/02/2012
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