Provider Demographics
NPI:1750522330
Name:ASSAF, SALEEM ATIYEH
Entity type:Individual
Prefix:
First Name:SALEEM
Middle Name:ATIYEH
Last Name:ASSAF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W WILLIAM CANNON DR
Mailing Address - Street 2:SUITE 501
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5257
Mailing Address - Country:US
Mailing Address - Phone:512-282-4327
Mailing Address - Fax:512-280-2609
Practice Address - Street 1:2500 W WILLIAM CANNON DR
Practice Address - Street 2:SUITE 501
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5257
Practice Address - Country:US
Practice Address - Phone:512-282-4327
Practice Address - Fax:512-280-2609
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80282237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist