Provider Demographics
NPI:1275783011
Name:SALTZ, GLENN R (MD)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:R
Last Name:SALTZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9053 SOQUEL DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-4034
Mailing Address - Country:US
Mailing Address - Phone:831-661-0365
Mailing Address - Fax:831-688-6779
Practice Address - Street 1:9053 SOQUEL DR
Practice Address - Street 2:SUITE 203
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-4034
Practice Address - Country:US
Practice Address - Phone:831-661-0365
Practice Address - Fax:831-688-6779
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG854412084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry