Provider Demographics
NPI:1992949960
Name:BALGLEY, HALONA WEXTON (MSCCC/SLP)
Entity type:Individual
Prefix:
First Name:HALONA
Middle Name:WEXTON
Last Name:BALGLEY
Suffix:
Gender:F
Credentials:MSCCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E 69TH ST
Mailing Address - Street 2:APARTMENT 8H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5549
Mailing Address - Country:US
Mailing Address - Phone:212-772-3742
Mailing Address - Fax:212-717-2226
Practice Address - Street 1:333 E 69TH ST
Practice Address - Street 2:APARTMENT 8H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5549
Practice Address - Country:US
Practice Address - Phone:212-772-3742
Practice Address - Fax:212-717-2226
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006475-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist