| Jacob Daniel Bal, SLP | |
|
626 Trail Ave, Frederick, MD 21701-4934 | |
| (301) 662-1997 | |
| (301) 668-2202 |
| Full Name | Jacob Daniel Bal |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 626 Trail Ave, Frederick, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497197016 | NPI | - | NPPES |
| 07324 | Other | MD | STATE OF MARYLAND |
| SLP-1452 | Other | WV | WEST VIRGINIA BOARDNOF EXAMINERS |
| 2202006812 | Other | VA | COMMONWEALTH OF VIRGINIA |
| Provider Name | Homecare Rehab And Nursing Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235387762 PECOS PAC ID: 7517026198 Enrollment ID: O20081112000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Daniel Bal, SLP 626 Trail Ave, Frederick, MD 21701-4934 Ph: (301) 662-1997 | Jacob Daniel Bal, SLP 626 Trail Ave, Frederick, MD 21701-4934 Ph: (301) 662-1997 |
Ms. Linda B Pruce, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 W 7th St, Frederick, MD 21701 Phone: 240-566-3337 Fax: 240-566-4872 | |
Mrs. Heather Nicole Krumpe, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11248 Alton Rd, Frederick, MD 21701 Phone: 443-904-6694 | |
Kourtney Alexis Murphy, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6980 Rooks Ct, Apt 201, Frederick, MD 21703 Phone: 240-418-4603 | |
Matthew Lalli, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 201 Waverley Dr, Frederick, MD 21702 Phone: 240-236-3900 | |
Mary Alyssa Wisnesky, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 808 Ivy Way Apt 3a, Frederick, MD 21701 Phone: 412-452-6345 | |
Laurel Mackereth, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6403 Mill Run Ct, Frederick, MD 21703 Phone: 301-639-5450 | |
Brooke Yurick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Clarke Pl, Frederick, MD 21701 Phone: 240-575-2966 |