Sharon H De Laveaga, MA, CCC-SLP
Speech-Language Pathologist, in Salem, OR. Individual provider (NPI-1).
NPI number1891363610
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1891363610
- Entity type
- Individual (NPI-1)
- Name
- Sharon H De Laveaga
- Credential
- MA, CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 17129 | OR | Yes |
Practice location
3871 Fairview Industrial Dr Se Ste 150Salem, OR 97302-1172
Phone 503-926-4299
Mailing address
3412 Wildwood Ct NwSalem, OR 97304-2231
Phone 503-409-4120
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All 100 Speech-Language Pathologist providers in Salem · All 8,143 providers in Salem
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