Active NPIIndividual providerSole proprietor

Avital Balsam, SLP-MA

Speech-Language Pathologist, in Highland Park, New Jersey

NPI Number1801169057
Practice location
1708 Central Ave, Highland Park, NJ 08904-3711
Fax
888-548-7035
Last updated
March 17, 2024

Avital Balsam is a Speech-Language Pathologist, based in Highland Park, NJ. Avital Balsam practices in Highland Park, NJ and has the professional credentials of SLP-MA. The NPI Number for Avital Balsam is 1801169057 and holds a License No. 41YS01197100 (NJ). The current practice location address for Avital Balsam is 1708 Central Ave, Highland Park, NJ 08904-3711 and can be reached out via phone at 516-361-0985 and via fax at 888-548-7035.

Provider Profile Details

NPI Number
1801169057
Provider Name
Avital Balsam
Credential
SLP-MA
Provider Entity Type
Individual
Gender
Female
Address
1708 Central Ave, Highland Park, NJ 08904-3711
Phone Number
516-361-0985
Fax Number
888-548-7035
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 20, 2012
Last Update Date
March 17, 2024
Certification Date
March 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1708 Central Ave
Highland Park, NJ 08904-3711
Zip
08904-3711
Phone Number
516-361-0985
Fax Number
888-548-7035
Highland Park, NJ 08904Get directions →

Provider Business Mailing Address Details

Address
1708 Central Ave
Highland Park, NJ 08904-3711
City
Highland Park
State
NJ
Zip
08904-3711
Phone Number
516-361-0985
Fax Number
888-548-7035

License Information

License Number (1)
41YS01197100
License State (1)
NJ
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
010377
License State (2)
NY
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

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 Avital Balsam, SLP-MA?

The NPI number of Avital Balsam, SLP-MA is 1801169057. It was assigned on February 20, 2012 and is currently active in the NPPES registry.

What is the specialty of Avital Balsam, SLP-MA?

Avital Balsam, SLP-MA is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01197100.

Where does Avital Balsam, SLP-MA practice?

The practice location is 1708 Central Ave, Highland Park, NJ 08904-3711. The office can be reached at 516-361-0985 (phone) or 888-548-7035 (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 1801169057 directly on the NPPES registry website.

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