Provider Demographics
NPI:1225282023
Name:STEVEN W SALDUKAS PHD PA
Entity Type:Organization
Organization Name:STEVEN W SALDUKAS PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:SALDUKAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:239-293-0230
Mailing Address - Street 1:1415 PANTHER LN
Mailing Address - Street 2:SUITE #142
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7874
Mailing Address - Country:US
Mailing Address - Phone:239-293-0230
Mailing Address - Fax:239-591-6217
Practice Address - Street 1:1415 PANTHER LN
Practice Address - Street 2:SUITE #142
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7874
Practice Address - Country:US
Practice Address - Phone:239-293-0230
Practice Address - Fax:239-591-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5629103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty