Amy N. Balfour, Speech-Language Pathologist, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7662 Issued in NC

Legal business name

AMY N. BALFOUR, SPEECH-LANGUAGE PATHOLOGIST, PLLC

Practice address

1692 Maizefield LN
Fuquay Varina, NC 27526-7593

Phone

(919) 285-3006

Fax

(919) 285-3006

NPI assigned

Mar 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amy N Balfour, MA CCC-SLP

Title

Member/Organizer

Phone

(919) 285-3006

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1154591949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 MAIZEFIELD LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267593",
            "telephone_number": "919-285-3006",
            "fax_number": "919-285-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 MAIZEFIELD LN",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267593",
            "telephone_number": "919-285-3006",
            "fax_number": "919-285-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY N. BALFOUR, SPEECH-LANGUAGE PATHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "BALFOUR",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "919-285-3006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.