NPI 1124221189 · live from the CMS NPI Registry
Rebecca J Ballard, CCC-SLP
Speech-Language Pathologist, in Burlington, WA. National Provider Identifier 1124221189, active.
NPI record
| NPI | 1124221189 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 927 E Fairhaven Ave, Burlington, WA 98233 |
| Practice phone | 360-757-3311 |
| Mailing address | 15241 Josh Wilson, Burlington, WA 98233 |
| Enumerated | June 7, 2007 |
| Last updated | October 17, 2014 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL00003748 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.