Provider Demographics
NPI:1457618407
Name:SALAM, SUSAN MORGAN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MORGAN
Last Name:SALAM
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:MARIE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2700 QUIET WATER PASS
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-3439
Mailing Address - Country:US
Mailing Address - Phone:252-495-1004
Mailing Address - Fax:
Practice Address - Street 1:2700 QUIET WATER PASS
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3439
Practice Address - Country:US
Practice Address - Phone:252-495-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006758235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist