Provider Demographics
NPI:1538637616
Name:SALVO, HEATHER DARLENE
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DARLENE
Last Name:SALVO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 EXECUTIVE DR STE 208
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8712
Mailing Address - Country:US
Mailing Address - Phone:330-595-9059
Mailing Address - Fax:330-595-9173
Practice Address - Street 1:3570 EXECUTIVE DR STE 208
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-8712
Practice Address - Country:US
Practice Address - Phone:330-595-9059
Practice Address - Fax:330-595-9173
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOND.2017185-SP235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist