Provider Demographics
NPI:1629227335
Name:ELDER-CHRISTENSEN, SALISHA AISHA (AUD)
Entity Type:Individual
Prefix:MRS
First Name:SALISHA
Middle Name:AISHA
Last Name:ELDER-CHRISTENSEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5882 BOLSA AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-5702
Mailing Address - Country:US
Mailing Address - Phone:714-898-5732
Mailing Address - Fax:714-901-4058
Practice Address - Street 1:5882 BOLSA AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-5702
Practice Address - Country:US
Practice Address - Phone:714-898-5732
Practice Address - Fax:714-901-4058
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 3000231H00000X
VA2101001891237600000X
VA2201001445231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter