Individual
LISA H BERNHOLZ-BALSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP/A
Contact information
Practice address
214 ENGLE ST, SUITE 12, ENGLEWOOD, NJ 07631-2443
(201) 871-5900
(201) 871-0059
Mailing address
214 ENGLE ST, SUITE 12, ENGLEWOOD, NJ 07631-2443
(201) 871-5900
(201) 871-0059
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
000968-1
NY
231H00000X
Audiologist
41YS00081400
NJ
235Z00000X
Speech-Language Pathologist
Primary
41YS00359300
NJ
235Z00000X
Speech-Language Pathologist
4535
NY
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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