Basic Information
Provider Information
NPI: 1871980185
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALMI
FirstName: TAYLOR
MiddleName: D'LAYNE
NamePrefix:  
NameSuffix:  
Credential: M.S. CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 397
Address2:  
City: HOT SPRINGS
State: MT
PostalCode: 598450397
CountryCode: US
TelephoneNumber: 4065298947
FaxNumber:  
Practice Location
Address1: 600 1ST AVE N
Address2:  
City: HOT SPRINGS
State: MT
PostalCode: 59845
CountryCode: US
TelephoneNumber: 4067412992
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/24/2015
LastUpdateDate: 04/24/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X4085MTY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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