Provider Demographics
NPI:1891932190
Name:SALAZAR, WENDY E (LMFT)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:E
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:WENDY
Other - Middle Name:E
Other - Last Name:SOTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WENDY SALAZAR
Mailing Address - Street 1:928 N SAN FERNANDO BLVD
Mailing Address - Street 2:SUITE J #111
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-4350
Mailing Address - Country:US
Mailing Address - Phone:818-850-0708
Mailing Address - Fax:818-861-9996
Practice Address - Street 1:1529 E PALMDALE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-2029
Practice Address - Country:US
Practice Address - Phone:661-272-9996
Practice Address - Fax:661-272-0438
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT88238106H00000X
CA69837390200000X
CA88238106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program