Provider Demographics
NPI:1043472723
Name:SALTARRELLI, MICHELLE L (AUD, MS)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:L
Last Name:SALTARRELLI
Suffix:
Gender:F
Credentials:AUD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 S FRIENDSWOOD DR STE 104
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4580
Mailing Address - Country:US
Mailing Address - Phone:281-816-3067
Mailing Address - Fax:832-472-0554
Practice Address - Street 1:699 S FRIENDSWOOD DR STE 104
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4580
Practice Address - Country:US
Practice Address - Phone:281-816-3067
Practice Address - Fax:832-569-4696
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103981235Z00000X
TX80083231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist