Individual
MRS. ASHTON RICHARDSON BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Mailing address
210 MISSISSIPPI AVE, BROOKHAVEN, MS 39601-4028
(601) 754-0280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
112655
TX
235Z00000X
Speech-Language Pathologist
Primary
4561
MS
Other
Enumeration date
05/19/2019
Last updated
02/08/2023
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