Provider Demographics
NPI:1881442754
Name:SALAZAR, LEILA (HIS)
Entity type:Individual
Prefix:
First Name:LEILA
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7019 HARPS MILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3248
Mailing Address - Country:US
Mailing Address - Phone:919-844-6000
Mailing Address - Fax:919-844-6616
Practice Address - Street 1:7019 HARPS MILL RD STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3248
Practice Address - Country:US
Practice Address - Phone:919-844-6000
Practice Address - Fax:919-844-6616
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1574237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist