Emily Balsman

Individual provider Active NPI Speech-Language Pathologist · Sikeston, MO

NPI 1578844429 · NPPES record last updated Aug 17, 2016

Key facts

NPI
1578844429
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2013005310 (MO)
Practice address
300 Floyd Dr
Sikeston, MO 63801-3960
Phone
(573) 472-0397
Fax
(573) 472-0409
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
2013005310MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenny Rogers Children'S Center Speech-Language Pathologist Past Accepting new patients
Mercy Clinic Children'S Surgery, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2013005310 MO Yes

Addresses

Primary practice location

300 Floyd Dr
Sikeston, MO 63801-3960

Mailing address

300 Floyd Dr
PO Box 608
Sikeston, MO 63801-3960
Phone (573) 472-0397

Other providers in Sikeston, MO

All providers in Sikeston, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.