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Individual

ALEXIA ILIAN DERMA SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
810 S MASON RD, KATY, TX 77450-3895
(281) 652-5200
(818) 357-2505
Mailing address
2301 W 19TH ST - 3RD FLOOR REAR, CHICAGO, IL 60608
(773) 949-2079

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115398
TX
235Z00000X
Speech-Language Pathologist
242.004726
IL
235Z00000X
Speech-Language Pathologist
29982
CA

Other

Enumeration date
06/11/2018
Last updated
05/12/2026
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