MEDICARE: MS. LINDA HALTER BALSIGER M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	13072	OR

General Provider Information

NPI Number	:	1487988051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA HALTER BALSIGER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	1011 SW EMKAY DR
Second Line	:	SUITE 101
City	:	BEND
State	:	OR
Zip	:	97702-3162
Country	:	US
Telephone Number	:	541-385-6002
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 SW EMKAY DR
Second Line	:	SUITE 101
City	:	BEND
State	:	OR
Zip	:	97702-3162
Country	:	US
Telephone Number	:	541-385-6002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2009
Last Update Date	:	09/29/2009

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Directions to “ MS. LINDA HALTER BALSIGER M.S., CCC-SLP” Practice Location

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