Doctor Name: | MRS. ERICA JANET BALKHI |
NPI Number: | 1013147982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. A. CCC-SLP |
License Number: | SP15351 |
Business Practice Address: | 25422 Trabuco Rd # 105-323 Lake Forest, CA - 926302791 |
Business Phone Number: | 9493949720 |
Business Fax Number: | 9493403571 |
Mailing Address: | 22122 Shadyvale Ln, LAKE FOREST |
State: | CA |
Postal Code: | 926303327 |
Phone Number: | 9493949720 |
Fax Number: | 9493403571 |
NPI Enumeration Date: | 07/24/2009 |
NPI Last Update Date: | 07/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP15351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |