Provider Demographics
NPI:1841456357
Name:SALERNO, JOANN MARIE (MS SLP/L)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:MARIE
Last Name:SALERNO
Suffix:
Gender:F
Credentials:MS SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 SODUS ST
Mailing Address - Street 2:APT 1
Mailing Address - City:CLYDE
Mailing Address - State:NY
Mailing Address - Zip Code:14433-1248
Mailing Address - Country:US
Mailing Address - Phone:315-879-0926
Mailing Address - Fax:
Practice Address - Street 1:85 SODUS ST
Practice Address - Street 2:APT 1
Practice Address - City:CLYDE
Practice Address - State:NY
Practice Address - Zip Code:14433-1248
Practice Address - Country:US
Practice Address - Phone:315-879-0926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016267-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist