Balthazor, Melissa

Balthazor, Melissa is an sole proprietor health care provider with primary practice located at 12 Chisholm Trail Rd Ste 100 , Round Rock TX 78681-2506. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Balthazor, Melissa can be contacted via phone (512) 341-9991.

Contact Information

Primary practice address
12 Chisholm Trail Rd Ste 100 Round Rock TX 78681-2506
Phone: (512) 341-9991
Fax: (512) 341-0019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 5728 Texas
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 103115 Texas

Profile Details

NPI number 1821112269
LBN Legal business name Balthazor, Melissa
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Mar 23rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821112269 NPPES
Texas MEDICAID 186959604
Texas MEDICAID 1869596-04
Texas MEDICAID 186959603

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