Provider Demographics
NPI:1083998280
Name:SALAZAR, KAROLINE KUGLER
Entity Type:Individual
Prefix:
First Name:KAROLINE
Middle Name:KUGLER
Last Name:SALAZAR
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 1:160 OLIVER
Mailing Address - Street 2:
Mailing Address - City:FALL
Mailing Address - State:MA
Mailing Address - Zip Code:02724
Mailing Address - Country:US
Mailing Address - Phone:508-479-4206
Mailing Address - Fax:
Practice Address - Street 1:543 NORTH STREET
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-984-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health