Individual provider · NPI-1

Emily Rachel Balloff, MS, CCC-SLP

Speech-Language Pathologist, · Palm Beach Gardens, FL

NPI number1235841503
StatusActive
Last updated in NPPESDec 19, 2022

Details

NPI
1235841503
Entity type
Individual (NPI-1)
Name
Mrs. Emily Rachel Balloff
Credential
MS, CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2022
Certification date
Aug 30, 2022
Last updated
Dec 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,10332MDYes
235Z00000X Speech-Language Pathologist,SA6785FL

Practice location

199 Isle Verde Way
Palm Beach Gardens, FL 33418-1710

Phone 305-773-4771

Mailing address

199 Isle Verde Way
Palm Beach Gardens, FL 33418-1710

Phone 305-773-4771

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