Individual
AMY LYNN BALENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L,CBIS
Contact information
Practice address
68 OAK DR, DALLAS, PA 18612-2949
(570) 709-1215
Mailing address
68 OAK DR, DALLAS, PA 18612-2949
(570) 709-1215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009685
PA
Other
Enumeration date
03/30/2010
Last updated
02/05/2022
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