Provider Demographics
NPI:1922451319
Name:SALZMAN, BRIANNE LEE (MS, CCC, SLP)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:LEE
Last Name:SALZMAN
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 1:5500 NAVAHO DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-8742
Mailing Address - Country:US
Mailing Address - Phone:850-857-9358
Mailing Address - Fax:
Practice Address - Street 1:5500 NAVAHO DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507-8742
Practice Address - Country:US
Practice Address - Phone:850-857-9358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA12656235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist