NPI 1255089744 · live from the CMS NPI Registry
Alexandra Balara
Speech-Language Pathologist, in Provo, UT. National Provider Identifier 1255089744, active.
NPI record
| NPI | 1255089744 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 295 N 1000 W, Provo, UT 84601 |
| Practice phone | 609-969-8178 |
| Enumerated | March 14, 2022 |
| Last updated | March 14, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.