Provider Demographics
NPI:1639771660
Name:SALDANA, ARACELI (MA, LSSP)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:
Last Name:SALDANA
Suffix:
Gender:F
Credentials:MA, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 SCHMELTZER LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-3624
Mailing Address - Country:US
Mailing Address - Phone:210-857-3912
Mailing Address - Fax:
Practice Address - Street 1:431 SCHMELTZER LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-3624
Practice Address - Country:US
Practice Address - Phone:210-857-3912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70632103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool