Provider Demographics
NPI:1538283395
Name:SALAMANCA, KERRI FRANCES (PHD)
Entity type:Individual
Prefix:DR
First Name:KERRI
Middle Name:FRANCES
Last Name:SALAMANCA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-1607
Mailing Address - Country:US
Mailing Address - Phone:812-478-0050
Mailing Address - Fax:
Practice Address - Street 1:6908 S OLD US HWY 41
Practice Address - Street 2:WABASH VALLEY CORRECTIONAL FACILITY
Practice Address - City:CARLISLE
Practice Address - State:IN
Practice Address - Zip Code:47838
Practice Address - Country:US
Practice Address - Phone:812-398-5050
Practice Address - Fax:812-238-2870
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20040773A103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist