Provider Demographics
NPI:1750657045
Name:SALTARELLI, BRIGETTE ELISE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:BRIGETTE
Middle Name:ELISE
Last Name:SALTARELLI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 EMERALD CT
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-3117
Mailing Address - Country:US
Mailing Address - Phone:775-289-6840
Mailing Address - Fax:
Practice Address - Street 1:2311 EMERALD CT
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-3117
Practice Address - Country:US
Practice Address - Phone:775-289-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV805235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist