Provider Demographics
NPI:1346274529
Name:SALVIO, MARIE-ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIE-ANNE
Middle Name:
Last Name:SALVIO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:957 S. LOIS TERRACE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452
Mailing Address - Country:US
Mailing Address - Phone:352-341-0200
Mailing Address - Fax:352-341-0700
Practice Address - Street 1:957 S LOIS TER
Practice Address - Street 2:SUITE 102
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-3267
Practice Address - Country:US
Practice Address - Phone:352-341-0200
Practice Address - Fax:352-341-0700
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1994103TC0700X
FLPY 6989103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU6229Medicare PIN