| Doctor Name: | MR. IRVING AARON BALTO |
| NPI Number: | 1104867548 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW, MSW |
| License Number: | 997-123 |
| Business Practice Address: | 221 W Seminary St Richland Center, WI - 535812358 |
| Business Phone Number: | 6086495781 |
| Business Fax Number: | 6086476611 |
| Mailing Address: | E2451 Lietke Ln, CHASEBURG |
| State: | WI |
| Postal Code: | 546217535 |
| Phone Number: | 6084832569 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 08/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 997-123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |