Whitney Rae Balentine, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Coppell, TX
NPI 1679725121 · NPPES record last updated Oct 15, 2008
Key facts
- NPI
- 1679725121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 102591 (TX)
- Practice address
- 820 S Macarthur Blvd Ste 105-211
Coppell, TX 75019-4216 - Phone
- (972) 745-4524
- NPI assigned
- Oct 15, 2008
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102591 | TX | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 102591 | TX | Yes |
Addresses
Primary practice location
820 S Macarthur Blvd Ste 105-211
Coppell, TX 75019-4216
Mailing address
820 S Macarthur Blvd Ste 105-211
Coppell, TX 75019-4216
Phone (972) 745-4524
Other providers in Coppell, TX
- Back to Eden Community Clinic LLC
- Sangjun Baek
- Luke Stephen Bailey
- Balance in Motion Physical Therapy and Wellness LLC
- Jessica James Baldridge
- Minakshi Bansal
- Christian Thomas Villanueva Baptista
- Baromed Hbo LLC
- Brittney Taylor Barr
- Anafernanda Barrera
All providers in Coppell, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2008. 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.