Provider Demographics
NPI:1073674909
Name:SALLADE, MICHELLE LEIGH ANNE
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LEIGH ANNE
Last Name:SALLADE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2662 WAVERLY CT
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973
Mailing Address - Country:US
Mailing Address - Phone:530-895-6593
Mailing Address - Fax:530-895-6597
Practice Address - Street 1:260 COHASSET ROAD
Practice Address - Street 2:SUITE E
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926
Practice Address - Country:US
Practice Address - Phone:530-895-6650
Practice Address - Fax:530-895-6597
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor