Provider Demographics
NPI:1083809925
Name:SALINAS, DESIDE G (MA, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:DESIDE
Middle Name:G
Last Name:SALINAS
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10316 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6318
Mailing Address - Country:US
Mailing Address - Phone:956-279-3500
Mailing Address - Fax:956-683-6174
Practice Address - Street 1:10316 N 24TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6318
Practice Address - Country:US
Practice Address - Phone:956-279-3500
Practice Address - Fax:956-683-6174
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-13
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100166235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist