Provider Demographics
NPI:1073852935
Name:SALHA, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:SALHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1265 ROSEDALE LN
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2664
Mailing Address - Country:US
Mailing Address - Phone:708-351-2676
Mailing Address - Fax:
Practice Address - Street 1:1265 ROSEDALE LN
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2664
Practice Address - Country:US
Practice Address - Phone:708-351-2676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-12
Last Update Date:2015-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst