Individual
DR. SEOKA A. SALSTROM
Active
Individual
DR. SEOKA A. SALSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
048.0110832
VT
103TC0700X
Clinical Psychologist
Primary
071-007362
IL
103TC0700X
Clinical Psychologist
071.007362
IL
103TC0700X
Clinical Psychologist
1370
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071.007362
STATE LICENSE
IL
Enumeration date
12/13/2007
Last updated
03/07/2018
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