Provider Demographics
NPI:1013555473
Name:SALUGA, EMILY ROSE (MS, CF-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ROSE
Last Name:SALUGA
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27505 EVERGREEN RUN
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:PA
Mailing Address - Zip Code:15126-9637
Mailing Address - Country:US
Mailing Address - Phone:724-831-6106
Mailing Address - Fax:
Practice Address - Street 1:1201 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:WELLSBURG
Practice Address - State:WV
Practice Address - Zip Code:26070-1344
Practice Address - Country:US
Practice Address - Phone:304-737-3481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP-0821235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV7402122000Medicaid