| NPI | 1578315420 |
|---|---|
| Doing Business As | THE PROAACTIVE SLP |
| Entity Type | Organization |
| Authorized Contact | CARRIE BALICK CEO/Owner, Speech Lang. Pathologist 925-586-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |