Individual
MELISSA BALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
93 WATER VILLAGE RD, OSSIPEE, NH 03864-7268
(603) 539-7511
Mailing address
6 PIPER LN, MEREDITH, NH 03253-5712
(770) 328-3059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1441
NH
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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