Individual
MRS. RHEAGAN DIANE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
201 N 5TH AVE, ACHILLE, OK 74720-0280
(580) 283-3775
Mailing address
PO BOX 280, ACHILLE, OK 74720-0280
(580) 283-3775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5533
OK
Other
Enumeration date
05/03/2021
Last updated
01/10/2025
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