Individual
JESSICA BALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 DEERFIELD CT, LONGMONT, CO 80504-8738
(303) 827-8832
Mailing address
3407 NORTHPOINT DR, EVANS, CO 80620-9019
(303) 827-8832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000854
CO
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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