Individual
SHELBI LYN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4401 STERLINGTON RD, MONROE, LA 71203-2339
(318) 232-1969
Mailing address
107 SUMMER LN, WEST MONROE, LA 71291-3501
(318) 396-1969
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8100
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8100
LA SPEECH LICENSE
LA
Enumeration date
12/10/2019
Last updated
12/10/2019
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