Organization Name: | BALDERSON SPEECH SERVICES, LLC |
NPI Number: | 1104068774 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AARON G. BALDERSON (SPEECH PATHOLOGIST) |
Mailing Address: | 1906 N Creek Dr Mount Pleasant |
State: | SC US |
Postal Code: | 294668749 |
Phone Number: | 8432247869 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2009 |
NPI Last Update Date: | 03/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |