DR. GINA PATRICIA SALCEDO-SAMPER


Address: 2525 Sw 75th Ave, Wgrh Neuropsychology Department, Miami, FL 33155-2800
Phone: 3052601931

DR. GINA PATRICIA SALCEDO-SAMPER (NPI# 1548509979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548509979
Entity Type Individual
Full Name DR. GINA PATRICIA SALCEDO-SAMPER
Credential PSY.D.
Practice Address 2525 Sw 75th Ave
Wgrh Neuropsychology Department
Miami
FL 33155-2800
Mailing Address 372 Whitethorn Dr
Miami Springs
FL 33166-4952
Practice Telephone 3052601931
Practice Fax Number 7862351074
Enumeration Date 2013-02-05
Last Update Date 2020-05-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist PY8702 FL Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
PY8702 FL Behavioral Health & Social Service Providers

Office Location

Street Address 2525 SW 75TH AVE
WGRH NEUROPSYCHOLOGY DEPARTMENT
City MIAMI
State FL
Zip Code 33155-2800

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City MIAMI
Zip Code 33155

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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