Balog Speech & Language Center, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000924 Issued in MI

Legal business name

BALOG SPEECH & LANGUAGE CENTER, PLLC

Practice address

1060 Cherry
Plymouth, MI 48170-2153

Phone

(734) 658-6150

NPI assigned

Feb 26, 2015

Last updated

Feb 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heather L BalogNPI 1285900878

Title

Speech-Language Pathologist

Phone

(734) 658-6150

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Lynn Balog, PH.D.

  • Speech-Language Pathologist
  • Plymouth, MI
  • NPI 1285900878
  NPD (past) Authorized official

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1316339435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 CHERRY",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702153",
            "telephone_number": "734-658-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 CHERRY",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702153",
            "telephone_number": "734-658-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALOG SPEECH & LANGUAGE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-26",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "BALOG",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "734-658-6150",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen K Baldwin
• Rex Bale, CCP
• Mackenzie Ball
• Mary Kay Balluff, M.D.
• Balog Speech & Language Center PLLC
• Heather Lynn Balog, PH.D.
• Beverly Bambach
• Michael Andrew Bambery, PH.D.
• Gwendolyn Laura Bammel, LMSW
• Janet Banks

• Speech-Language Pathologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.