NPI 1821134909 · live from the CMS NPI Registry
Kelly Renee Ballantyne, CCC-SLP
Speech-Language Pathologist, in Seattle, WA. National Provider Identifier 1821134909, active.
NPI record
| NPI | 1821134909 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3906 Ne 50th St, Seattle, WA 98105 |
| Practice phone | 713-231-7619 |
| Enumerated | January 29, 2007 |
| Last updated | October 25, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | LL60220368 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.