Provider Demographics
NPI:1578237988
Name:SALERNO, DANIELLE JACQUELINE (SLP)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JACQUELINE
Last Name:SALERNO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:JACQUELINE
Other - Last Name:SALERNO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SLP
Mailing Address - Street 1:17 SPENCER RD
Mailing Address - Street 2:
Mailing Address - City:GREENBRIER
Mailing Address - State:AR
Mailing Address - Zip Code:72058-9575
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:103 SE 22ND ST
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-7188
Practice Address - Country:US
Practice Address - Phone:479-254-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist