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Individual

MS. ABBY SUZANNE BALCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCCSLP

Contact information

Practice address
5250 ANDREW JOHNSON HIGHWAY, MORRISTOWN, TN 37814
(423) 318-7800
(423) 318-3332
Mailing address
69 COLLEGE STREET, NEWPORT, TN 37821
(423) 623-1689

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1482
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4135942
BCBS PROVIDER NUMBER
TN
05
5440982
TN
Enumeration date
03/09/2007
Last updated
07/08/2007
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