Jacqueline Corine Sallade, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL015323 Issued in PA

Practice address

2 Penn Blvd Ste 220
Philadelphia, PA 19144-1403

Phone

(267) 930-5094

Fax

(215) 844-5401

NPI assigned

Jan 25, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1992395750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E COLLEGE AVE",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222222",
            "telephone_number": "717-715-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PENN BLVD STE 220",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441403",
            "telephone_number": "267-930-5094",
            "fax_number": "215-844-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLADE",
        "first_name": "JACQUELINE",
        "middle_name": "CORINE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Reed Salkind, MD
• Joseph Salkowitz, D.M.D.
• Koura Sall, DO
• Sarah Alice Sall, LMT
• Hiral Rasik Salla, RDN
• Patricia Salley, PA-C
• Shadi Sallit, M.D.
• Elie Salloum
• Raed Salman, MD
• Yumna Salman, MD

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.