Jessica Baliski, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Bellmawr, NJ

NPI 1306159751 · NPPES record last updated Jul 14, 2010

Key facts

NPI
1306159751
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
41YS006289 (NJ)
Practice address
312 Chester Ave
Bellmawr, NJ 08031-2706
Phone
(856) 498-3297
NPI assigned
Jul 14, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
41YS006289NJMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS006289 NJ Yes

Addresses

Primary practice location

312 Chester Ave
Bellmawr, NJ 08031-2706

Mailing address

312 Chester Avenue
Bellmawr, NJ 08031
Phone (856) 498-3297

Other providers in Bellmawr, NJ

All providers in Bellmawr, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.