Provider Demographics
NPI:1508201054
Name:BALUYOT, ROLLIECA JUNE (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:ROLLIECA
Middle Name:JUNE
Last Name:BALUYOT
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:MISS
Other - First Name:ROLLIECA
Other - Middle Name:JUNE
Other - Last Name:FILOTEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27654 BURGUNDY CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-3469
Mailing Address - Country:US
Mailing Address - Phone:661-252-3340
Mailing Address - Fax:
Practice Address - Street 1:23504 LYONS AVE
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-2500
Practice Address - Country:US
Practice Address - Phone:661-253-0245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23012355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant