Doctor Name: | MS. IRENE DELYTH BALMER |
NPI Number: | 1003234881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 7101003575 |
Business Practice Address: | 3200 E Eisenhower Pkwy Ann Arbor, MI - 481083231 |
Business Phone Number: | 7346770070 |
Business Fax Number: | 7346770890 |
Mailing Address: | 3200 E Eisenhower Pkwy, ANN ARBOR |
State: | MI |
Postal Code: | 481083231 |
Phone Number: | 7346770070 |
Fax Number: | 7346770890 |
NPI Enumeration Date: | 03/31/2014 |
NPI Last Update Date: | 09/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101003575 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |