Individual
MS. LISSE SALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
356 MAIN ST, HAVERHILL, MA 01830-4008
(978) 373-0002
(978) 914-7824
Mailing address
356 MAIN ST, HAVERHILL, MA 01830-4008
(978) 373-0002
(978) 914-7824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9266
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011856
0011856
MA
01
—
1063705697
NPI
MA
01
—
1619110897
NPI
MA
Enumeration date
04/13/2017
Last updated
09/17/2019
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