Provider Demographics
NPI:1669780334
Name:SALIN, CHYRES ANNETTE
Entity type:Individual
Prefix:
First Name:CHYRES
Middle Name:ANNETTE
Last Name:SALIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHYRES
Other - Middle Name:ANNETTE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 W BASELINE RD
Mailing Address - Street 2:#1074
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1169
Mailing Address - Country:US
Mailing Address - Phone:480-206-2798
Mailing Address - Fax:
Practice Address - Street 1:505 W BASELINE RD
Practice Address - Street 2:#1074
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1169
Practice Address - Country:US
Practice Address - Phone:480-206-2798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA67242355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant