Doctor Name: | DIVINA BALORIO |
NPI Number: | 1144566548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SA10275 |
Business Practice Address: | 1980 Sunset Point Rd Clearwater, FL - 337651132 |
Business Phone Number: | 7274431588 |
Business Fax Number: | |
Mailing Address: | 2253 Springflower Dr, CLEARWATER |
State: | FL |
Postal Code: | 337632234 |
Phone Number: | 7274559883 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2012 |
NPI Last Update Date: | 12/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA10275 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |