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NPI Code Detail

MEDICARE: CAROL SALEM M.ED SLP

MEDICARE:   CAROL  SALEM  M.ED SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP-3595NV

General Provider Information

NPI Number : 1124850995
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL SALEM M.ED SLP
Provider Business Mailing Address
First Line : 1161 PANDORA CANYON ST
Second Line :
City : HENDERSON
State : NV
Zip : 89052-4504
Country : US
Telephone Number : 702-540-5656
Fax Number :
Provider Business Practice Location Address
First Line : 7066 NATIVE SPIRITS ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-4749
Country : US
Telephone Number : 702-970-6426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2024
Last Update Date : 08/19/2024

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Directions to “ CAROL SALEM M.ED SLP” Practice Location

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