Individual
DONNA BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9769 FLOWERET AVE, LAS VEGAS, NV 89117-6954
(702) 290-2800
Mailing address
9769 FLOWERET AVE, LAS VEGAS, NV 89117-6954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1664
NV
Other
Enumeration date
02/05/2014
Last updated
08/27/2014
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