Provider Demographics
NPI:1093008914
Name:SALOMON, ROSANGELA (MAPC, PSYD, LAC)
Entity Type:Individual
Prefix:DR
First Name:ROSANGELA
Middle Name:
Last Name:SALOMON
Suffix:
Gender:F
Credentials:MAPC, PSYD, LAC
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:SALOMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ANGELA SALOMON
Mailing Address - Street 1:20118 N 67TH AVE STE 300-157
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-4621
Mailing Address - Country:US
Mailing Address - Phone:480-248-1726
Mailing Address - Fax:
Practice Address - Street 1:20118 N 67TH AVE STE 300-157
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-4621
Practice Address - Country:US
Practice Address - Phone:480-248-1726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-25
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health