Provider Demographics
NPI:1760547442
Name:SALZER, DANIEL MARKS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MARKS
Last Name:SALZER
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 1:17311 135TH AVE NE
Mailing Address - Street 2:SUITE C-100
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-3519
Mailing Address - Country:US
Mailing Address - Phone:425-483-4136
Mailing Address - Fax:425-483-4136
Practice Address - Street 1:17311 135TH AVE NE
Practice Address - Street 2:SUITE C-100
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-3519
Practice Address - Country:US
Practice Address - Phone:425-483-4136
Practice Address - Fax:425-483-4136
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002086103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical