Individual
MRS. JANELLE ROSLYNN SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4505 BALI CT NE, ALBUQUERQUE, NM 87111-2801
(505) 292-7104
(505) 296-2183
Mailing address
7115 MONTECITO CT NW, ALBUQUERQUE, NM 87114-3568
(505) 310-3639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4055
NM
235Z00000X
Speech-Language Pathologist
Primary
5216
NM
235Z00000X
Speech-Language Pathologist
C-4824
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE ASSIGNED
—
NM
Enumeration date
05/19/2009
Last updated
08/15/2017
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