Individual
MS. ANDREA C BALAN-VOGT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1353 SPRUCE DR, CARMEL, IN 46033-9375
(317) 258-6284
Mailing address
1353 SPRUCE DR, CARMEL, IN 46033-9375
(317) 258-6284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003483A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200601590
—
IN
05
—
200701310A
—
IN
Enumeration date
05/15/2007
Last updated
07/09/2007
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