Balog, Elizabeth Dakelman

Balog, Elizabeth Dakelman is an individual health care provider with primary practice located at 11690 Neelsville Church Rd , Germantown MD 20876-4127. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Balog, Elizabeth Dakelman can be contacted via phone (301) 353-0972.

Contact Information

Primary practice address
11690 Neelsville Church Rd Germantown MD 20876-4127
Phone: (301) 353-0972
Fax: (301) 601-0381
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0062 Maryland
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 03037 Maryland

Profile Details

NPI number 1750859062
LBN Legal business name Balog, Elizabeth Dakelman
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2018
Last updated Nov 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750859062 NPPES
Maryland Other 03037 MD STATE BOARD OF OCCUPATIONAL THERY PRACTITIONERS

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