Individual
BONNIE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1628 19TH ST, LUBBOCK, TX 79401-4832
(806) 766-1172
(806) 766-1286
Mailing address
1628 19TH ST, LUBBOCK, TX 79401-4832
(806) 766-1172
(806) 766-1286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104801
TX
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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