Provider Demographics
NPI:1710477880
Name:SALAZAR, CHRISTINA LANDON (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LANDON
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 GOLDEN ACRES DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-2224
Mailing Address - Country:US
Mailing Address - Phone:661-972-7879
Mailing Address - Fax:
Practice Address - Street 1:1597 AVENUE D STE 4
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3010
Practice Address - Country:US
Practice Address - Phone:406-690-6996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-15
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3144235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist