Provider Demographics
NPI:1346689015
Name:SALEMI, GINA MARIE (MS, SLP, TSSLD)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:SALEMI
Suffix:
Gender:F
Credentials:MS, SLP, TSSLD
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:SALEMI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, SLP, TSSLD
Mailing Address - Street 1:17 LLOYD AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11703-2608
Mailing Address - Country:US
Mailing Address - Phone:631-889-1646
Mailing Address - Fax:
Practice Address - Street 1:17 LLOYD AVE
Practice Address - Street 2:
Practice Address - City:NORTH BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11703-2608
Practice Address - Country:US
Practice Address - Phone:631-889-1646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023689-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist