Provider Demographics
NPI:1467865980
Name:BALMICK, RESHMA (BS, BC-HIS)
Entity Type:Individual
Prefix:MISS
First Name:RESHMA
Middle Name:
Last Name:BALMICK
Suffix:
Gender:F
Credentials:BS, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 WEST BURLEIGH BLVD.
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778
Mailing Address - Country:US
Mailing Address - Phone:352-508-9847
Mailing Address - Fax:407-324-3656
Practice Address - Street 1:500 WEST BURLEIGH BLVD.
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778
Practice Address - Country:US
Practice Address - Phone:352-508-9847
Practice Address - Fax:407-324-3656
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5013237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist