Individual
AMY D BALLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC/SLP
Contact information
Practice address
635 W SUMMIT AVE, MUSKEGON, MI 49441-4190
(888) 488-9030
Mailing address
8435 LAKE WAVERLY LN, ORLANDO, FL 32829-7657
(407) 658-6006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA787
FL
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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