Provider Demographics
NPI:1174883276
Name:SALDIVAR, ROCIO EDITH
Entity type:Individual
Prefix:
First Name:ROCIO
Middle Name:EDITH
Last Name:SALDIVAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 CAMSORE POINT LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6997
Mailing Address - Country:US
Mailing Address - Phone:702-883-9347
Mailing Address - Fax:
Practice Address - Street 1:2235 E FLAMINGO RD STE 402
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5197
Practice Address - Country:US
Practice Address - Phone:702-331-5608
Practice Address - Fax:702-463-0996
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11656-C1041C0700X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical