Provider Demographics
NPI:1922055516
Name:SALZER, ELAINE JANIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:JANIS
Last Name:SALZER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2901 RIDGELAKE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4966
Mailing Address - Country:US
Mailing Address - Phone:504-837-6018
Mailing Address - Fax:504-837-6055
Practice Address - Street 1:2901 RIDGELAKE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4966
Practice Address - Country:US
Practice Address - Phone:504-837-6018
Practice Address - Fax:504-837-6055
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA456103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA56073Medicare PIN