Individual
MRS. KATHLEEN READ BALLANTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
2 VALLEY STREAM DR, CUMBERLAND, RI 02864-5045
(401) 339-0930
(401) 334-0011
Mailing address
1000 EDDY STREET, PROVIDENCE, RI 02905
(401) 533-9100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00259
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2092
EI NHPRC
RI
01
—
292177
EI BCROSS
RI
01
—
412296
EI BCHIP
RI
01
—
4600103
EI UNITED
RI
Enumeration date
03/16/2007
Last updated
12/31/2014
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