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NPI Code Detail

MEDICARE: MARTHA BALZANO CT

MEDICARE: MARTHA BALZANO CT
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
1101YM0800XMental Health CounselorC.2607468-TRNEOH

General Provider Information

NPI Number : 1467396416
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA BALZANO CT
Provider Business Mailing Address
First Line : 4607 GAMMA AVE
Second Line :
City : NEWBURGH HEIGHTS
State : OH
Zip : 44105-3163
Country : US
Telephone Number : 440-781-0648
Fax Number :
Provider Business Practice Location Address
First Line : 13201 GRANGER RD STE 8
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-1979
Country : US
Telephone Number : 216-831-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ MARTHA BALZANO CT” Practice Location

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