Provider Demographics
NPI:1235322918
Name:SZALMA, CAMILLE DENETTE (PSYCH TECH)
Entity Type:Individual
Prefix:
First Name:CAMILLE
Middle Name:DENETTE
Last Name:SZALMA
Suffix:
Gender:F
Credentials:PSYCH TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1078 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3403
Mailing Address - Country:US
Mailing Address - Phone:562-285-0149
Mailing Address - Fax:562-285-0156
Practice Address - Street 1:1078 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3403
Practice Address - Country:US
Practice Address - Phone:562-285-0149
Practice Address - Fax:562-285-0156
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner