Individual
AVITAL BALSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-M.A
Contact information
Practice address
1708 CENTRAL AVE, HIGHLAND PARK, NJ 08904-3711
(516) 361-0985
(888) 548-7035
Mailing address
1708 CENTRAL AVE, HIGHLAND PARK, NJ 08904-3711
(516) 361-0985
(888) 548-7035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
010377
NY
235Z00000X
Speech-Language Pathologist
41YS01197100
NJ
Other
Enumeration date
02/20/2012
Last updated
03/17/2024
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