Doctor Name: | ERIN BALES |
NPI Number: | 1477910438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2015044729 |
Business Practice Address: | 19009 E Susquehanna Rdg Independence, MO - 640563103 |
Business Phone Number: | 8166507371 |
Business Fax Number: | |
Mailing Address: | 19009 E Susquehanna Rdg, INDEPENDENCE |
State: | MO |
Postal Code: | 640563103 |
Phone Number: | 8166507371 |
Fax Number: | |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 01/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2015044729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |