IndividualActive
Abigail Balogun, AUD, CCC/A
NPI 1225878358 · Audiologist · Tyler, TX
Provider details
- NPI number
- 1225878358
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD, CCC/A
- Sex
- Female
- Sole proprietor
- No
Practice location
1136 E Grande Blvd
Tyler, TX 75703-3982
Phone: (903) 592-3666
Fax: (903) 593-1174
Mailing address
1136 E Grande Blvd
Tyler, TX 75703-3982
Registry dates
- Enumerated
- 2024-05-28
- Last updated
- 2024-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.