Individual
STEPHANIE L SALINAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3939 ROSWELL RD STE 200, MARIETTA, GA 30062-6285
(470) 956-3940
(770) 565-1830
Mailing address
3939 ROSWELL RD STE 200, MARIETTA, GA 30062-6285
(470) 956-3940
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
2019010428
MO
103TC0700X
Clinical Psychologist
Primary
PSY004395
GA
Other
Enumeration date
05/17/2017
Last updated
12/18/2020
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