Erica Janet Balkhi, M. A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Lake Forest, CA
NPI 1013147982 · NPPES record last updated Jul 24, 2009
Key facts
- NPI
- 1013147982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP15351 (CA)
- Practice address
- 25422 Trabuco Rd # 105-323
Lake Forest, CA 92630-2791 - Phone
- (949) 394-9720
- Fax
- (949) 340-3571
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP15351 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP15351 | CA | Yes |
Addresses
Primary practice location
25422 Trabuco Rd # 105-323
Lake Forest, CA 92630-2791
Mailing address
22122 Shadyvale LN
Lake Forest, CA 92630-3327
Phone (949) 394-9720
Other providers in Lake Forest, CA
- Mihyun Back
- Tiffany Bae
- Melissa Baker Jones
- Mandeep Bal
- Balance Rehabilitation, Inc.
- Eric Howard Ball
- Chase Ballou Ballou
- Baran & Costa LLC
- Mahsa Barkhi
- Carol Ann Barnes-Blanks
All providers in Lake Forest, CA · Speech-Language Pathologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.