Provider Demographics
NPI:1093801326
Name:SALMONS, LEILA R (MA,CCC/SLP)
Entity Type:Individual
Prefix:
First Name:LEILA
Middle Name:R
Last Name:SALMONS
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 1:4830 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4033
Mailing Address - Country:US
Mailing Address - Phone:713-839-8255
Mailing Address - Fax:713-665-7563
Practice Address - Street 1:4830 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4033
Practice Address - Country:US
Practice Address - Phone:713-839-8255
Practice Address - Fax:713-665-7563
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169055401Medicaid