Individual
JESSICA BALISKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
312 CHESTER AVE, BELLMAWR, NJ 08031-2706
(856) 498-3297
Mailing address
312 CHESTER AVENUE, BELLMAWR, NJ 08031
(856) 498-3297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS006289
NJ
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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