Provider Demographics
NPI:1376212845
Name:SALOIO, BREANNA (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:BREANNA
Middle Name:
Last Name:SALOIO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PITTSFIELD RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2470
Mailing Address - Country:US
Mailing Address - Phone:413-200-8116
Mailing Address - Fax:413-341-8975
Practice Address - Street 1:150 PITTSFIELD RD STE 1
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2470
Practice Address - Country:US
Practice Address - Phone:413-200-8116
Practice Address - Fax:413-341-8975
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA78121-SP-SL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist