Individual
LAINE HALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
640 ENTERPRISE DR, STE. C, LEWIS CENTER, OH 43035-9440
(614) 433-0132
(614) 433-0132
Mailing address
640 ENTERPRISE DR, STE. C, LEWIS CENTER, OH 43035-9440
(614) 433-0132
(614) 433-0132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.11260
OH
Other
Enumeration date
12/19/2013
Last updated
11/11/2015
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