Provider Demographics
NPI:1366546855
Name:SALADRIGAS, ELISA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:ELISA
Middle Name:M
Last Name:SALADRIGAS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11253 NW 46TH LN
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4349
Mailing Address - Country:US
Mailing Address - Phone:305-639-3244
Mailing Address - Fax:305-639-3244
Practice Address - Street 1:11253 NW 46TH LN
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-4349
Practice Address - Country:US
Practice Address - Phone:305-639-3244
Practice Address - Fax:305-639-3244
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6150103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical