Active NPIIndividual providerSole proprietor

Lisa H Bernholz-Balsam, MS, CCC-SLP/A

Speech-Language Pathologist, in Englewood, New Jersey

NPI Number1083069645
Practice location
214 Engle St, Suite 12, Englewood, NJ 07631-2443
Fax
201-871-0059
Last updated
May 2, 2016

Lisa H Bernholz-Balsam is a Speech-Language Pathologist, based in Englewood, NJ. Lisa H Bernholz-Balsam practices in Englewood, NJ and has the professional credentials of MS, CCC-SLP/A. The NPI Number for Lisa H Bernholz-Balsam is 1083069645 and holds a License No. 41YS00081400 (NJ). The current practice location address for Lisa H Bernholz-Balsam is 214 Engle St, Suite 12, Englewood, NJ 07631-2443 and can be reached out via phone at 201-871-5900 and via fax at 201-871-0059.

Provider Profile Details

NPI Number
1083069645
Provider Name
Lisa H Bernholz-Balsam
Credential
MS, CCC-SLP/A
Provider Entity Type
Individual
Gender
Female
Address
214 Engle St, Suite 12, Englewood, NJ 07631-2443
Phone Number
201-871-5900
Fax Number
201-871-0059
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 2, 2016
Last Update Date
May 2, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
214 Engle St
Suite 12
Englewood, NJ 07631-2443
Zip
07631-2443
Phone Number
201-871-5900
Fax Number
201-871-0059
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
214 Engle St
Suite 12
Englewood, NJ 07631-2443
City
Englewood
State
NJ
Zip
07631-2443
Phone Number
201-871-5900
Fax Number
201-871-0059

License Information

License Number (1)
41YS00081400
License State (1)
NJ
Taxonomy (1)
Audiologist · 231H00000X
License Number (2)
000968-1
License State (2)
NY
Taxonomy (2)
Audiologist · 231H00000X
License Number (3)
41YS00359300
License State (3)
NJ
Taxonomy (3)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (4)
4535
License State (4)
NY
Taxonomy (4)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa H Bernholz-Balsam, MS, CCC-SLP/A?

The NPI number of Lisa H Bernholz-Balsam, MS, CCC-SLP/A is 1083069645. It was assigned on May 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Lisa H Bernholz-Balsam, MS, CCC-SLP/A?

Lisa H Bernholz-Balsam, MS, CCC-SLP/A is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00081400.

Where does Lisa H Bernholz-Balsam, MS, CCC-SLP/A practice?

The practice location is 214 Engle St, Suite 12, Englewood, NJ 07631-2443. The office can be reached at 201-871-5900 (phone) or 201-871-0059 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083069645 directly on the NPPES registry website.

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