Individual
PATRICIA BALTHAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3449 CHARLEMAGNE DR, DECATUR, GA 30034-5317
(517) 927-1598
Mailing address
3449 CHARLEMAGNE DR, DECATUR, GA 30034-5317
(517) 927-1598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
01/29/2019
Last updated
09/19/2025
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