Provider Demographics
NPI:1053561076
Name:BALMFORD-SHRAYBER, AMY
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:BALMFORD-SHRAYBER
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:BALMFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:3394 SAXONBURG BLVD STE 620
Mailing Address - Street 2:
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-3169
Mailing Address - Country:US
Mailing Address - Phone:412-767-5967
Mailing Address - Fax:
Practice Address - Street 1:3394 SAXONBURG BLVD STE 620
Practice Address - Street 2:
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-3169
Practice Address - Country:US
Practice Address - Phone:412-767-5967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008831235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist