Individual
DR. HEATHER LYNN BALOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
43824 JOY RD, PLYMOUTH, MI 48170-4094
(734) 658-6150
Mailing address
43824 JOY RD, PLYMOUTH, MI 48170-4094
(734) 658-6150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000029
MI
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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