Provider Demographics
NPI:1376763235
Name:SALWAY, MILTON (PHD)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:
Last Name:SALWAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4943 IVORY MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3992
Mailing Address - Country:US
Mailing Address - Phone:562-677-5752
Mailing Address - Fax:
Practice Address - Street 1:10425 HUFFMEISTER RD STE 440
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3429
Practice Address - Country:US
Practice Address - Phone:281-375-4513
Practice Address - Fax:855-919-6054
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY7536103T00000X
TX39716103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist