Provider Demographics
NPI:1932369881
Name:SALCIDO, FRANK RICHARD (LICENSED ED PSYCH)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:RICHARD
Last Name:SALCIDO
Suffix:
Gender:M
Credentials:LICENSED ED PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W CHURCH ST
Mailing Address - Street 2:125 E MORRISON AVE
Mailing Address - City:SANTYA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454
Mailing Address - Country:US
Mailing Address - Phone:805-452-3400
Mailing Address - Fax:805-925-9634
Practice Address - Street 1:125 E MORRISON AVE
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-6619
Practice Address - Country:US
Practice Address - Phone:805-452-3400
Practice Address - Fax:805-925-9634
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALEP 1535103TC1900X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling