Individual
MS. HALEY ELLISE BALKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1525 PARK LN, HILLSBOROUGH, NC 27278-9454
(806) 790-8849
Mailing address
1525 PARK LN, HILLSBOROUGH, NC 27278-9454
(806) 790-8849
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14787
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
02/20/2013
Last updated
07/21/2021
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