Provider Demographics
NPI:1003914870
Name:SALDUKAS, STEVEN W (PHD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:SALDUKAS
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 1:1415 PANTHER LN
Mailing Address - Street 2:#142
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-7874
Mailing Address - Country:US
Mailing Address - Phone:239-293-0230
Mailing Address - Fax:239-591-6217
Practice Address - Street 1:1415 PANTHER LN
Practice Address - Street 2:#142
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-7874
Practice Address - Country:US
Practice Address - Phone:239-293-0230
Practice Address - Fax:239-591-6217
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY5629103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL761632500Medicaid
FL1225282023OtherCORPORATE NPI
FL1225282023OtherCORPORATE NPI