Provider Demographics
NPI:1992267520
Name:BALQUIER, JOVANNA LYNN
Entity type:Individual
Prefix:
First Name:JOVANNA
Middle Name:LYNN
Last Name:BALQUIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-2949
Mailing Address - Country:US
Mailing Address - Phone:402-209-3860
Mailing Address - Fax:
Practice Address - Street 1:2452 N BROADWAY
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-0432
Practice Address - Country:US
Practice Address - Phone:712-323-7135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist