Individual
MS. NICOLE MARIE BALLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2023 E HIGH ST, POTTSTOWN, PA 19464-3211
(610) 323-1550
Mailing address
7819 RED HAWK CT, BREINIGSVILLE, PA 18031-1660
(570) 952-1258
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006388
PA
Other
Enumeration date
02/08/2015
Last updated
12/23/2015
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