Provider Demographics
NPI:1609103514
Name:SALISBURY, MARIA NICOLE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:NICOLE
Last Name:SALISBURY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:NIKKI
Other - Middle Name:
Other - Last Name:SALISBURY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:7242 KY ROUTE 40 W
Mailing Address - Street 2:
Mailing Address - City:OIL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41238-9128
Mailing Address - Country:US
Mailing Address - Phone:606-297-6624
Mailing Address - Fax:
Practice Address - Street 1:7242 KY ROUTE 40 W
Practice Address - Street 2:
Practice Address - City:OIL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41238-9128
Practice Address - Country:US
Practice Address - Phone:606-297-6624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3657235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist