Doctor Name: | MR. LUIS JOEL SALCIDO |
NPI Number: | 1295855203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS.CCC.SLP |
License Number: | 19516 |
Business Practice Address: | 620 N Alleghaney Ave Odessa, TX - 797614408 |
Business Phone Number: | 4323328244 |
Business Fax Number: | 4325807428 |
Mailing Address: | 6280 Eastridge Rd, ODESSA |
State: | TX |
Postal Code: | 797625066 |
Phone Number: | 4325505686 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 19516 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |