Provider Demographics
NPI:1437433653
Name:BALUTIS, DEANNE MARIE (MS)
Entity Type:Individual
Prefix:MS
First Name:DEANNE
Middle Name:MARIE
Last Name:BALUTIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:13417-1510
Mailing Address - Country:US
Mailing Address - Phone:315-736-9731
Mailing Address - Fax:
Practice Address - Street 1:16 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:NEW YORK MILLS
Practice Address - State:NY
Practice Address - Zip Code:13417-1510
Practice Address - Country:US
Practice Address - Phone:315-736-9731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist