Provider Demographics
NPI:1740574672
Name:MCCALL-SALERNO, BEATRICE ELIZABETH (MFT)
Entity Type:Individual
Prefix:
First Name:BEATRICE
Middle Name:ELIZABETH
Last Name:MCCALL-SALERNO
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8575 ELK GROVE FLORIN RD
Mailing Address - Street 2:330
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95624-9532
Mailing Address - Country:US
Mailing Address - Phone:916-833-9558
Mailing Address - Fax:
Practice Address - Street 1:8575 ELK GROVE FLORIN RD
Practice Address - Street 2:330
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95624-9532
Practice Address - Country:US
Practice Address - Phone:916-833-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42444106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist