Provider Demographics
NPI:1932946027
Name:BALZER, ANNE MARIE CANICE (ED S CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNE MARIE
Middle Name:CANICE
Last Name:BALZER
Suffix:
Gender:F
Credentials:ED S CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3413 EAGLE VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-6922
Mailing Address - Country:US
Mailing Address - Phone:517-294-0501
Mailing Address - Fax:
Practice Address - Street 1:3413 EAGLE VALLEY CT
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-6922
Practice Address - Country:US
Practice Address - Phone:517-294-0501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101001391235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist