Individual
CHANTELLE BALLARD VARNADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2211 AUGUSTA LN, LAUNCH, DENHAM SPRINGS, LA 70726-4933
(225) 238-1741
(225) 341-8749
Mailing address
2211 AUGUSTA LN, LAUNCH, DENHAM SPRINGS, LA 70726-4933
(225) 238-1741
(225) 341-8749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202006179
VA
235Z00000X
Speech-Language Pathologist
Primary
4777
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004909976
—
VA
Enumeration date
11/11/2010
Last updated
06/18/2015
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