| Doctor Name: | LAUREN E BALLE |
| NPI Number: | 1710309596 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CF SLP |
| License Number: | SA12740 |
| Business Practice Address: | 5968 Clark Center Ave Sarasota, FL - 342382715 |
| Business Phone Number: | 9419228200 |
| Business Fax Number: | 9413439402 |
| Mailing Address: | 4232 53rd Ave W Apt 2507, BRADENTON |
| State: | FL |
| Postal Code: | 342104410 |
| Phone Number: | 9418076278 |
| Fax Number: | 9413439402 |
| NPI Enumeration Date: | 01/13/2014 |
| NPI Last Update Date: | 01/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA12740 |
| 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 |