Individual
JARED SCOTT BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CF-SLP
Contact information
Practice address
101 BRIGHTWATER DR, MYRTLE BEACH, SC 29579
(843) 492-0543
Mailing address
111 VILLAGE CENTER BLVD UNIT 2115, MYRTLE BEACH, SC 29579-6718
(304) 838-4911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6557
SC
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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