Provider Demographics
NPI:1043338916
Name:SALAMI, REMI SOPHIE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:REMI
Middle Name:SOPHIE
Last Name:SALAMI
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:MRS
Other - First Name:REMI
Other - Middle Name:SOPHIE
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:223 PHEASANT RD
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1024
Mailing Address - Country:US
Mailing Address - Phone:740-707-4308
Mailing Address - Fax:
Practice Address - Street 1:223 PHEASANT RD
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1024
Practice Address - Country:US
Practice Address - Phone:740-707-4308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00493500235Z00000X
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist