Provider Demographics
NPI:1851138200
Name:SALABARRIA, LEONELA ANDREINA
Entity type:Individual
Prefix:
First Name:LEONELA
Middle Name:ANDREINA
Last Name:SALABARRIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 HIGH ST STE 701
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-3025
Mailing Address - Country:US
Mailing Address - Phone:186-660-0759
Mailing Address - Fax:
Practice Address - Street 1:94-665 KAAHOLO ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1223
Practice Address - Country:US
Practice Address - Phone:808-675-0266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist