Individual
EDRA JUNE MILLER-BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. M.ED. L-SLP
Contact information
Practice address
1801 GENERAL PERSHING ST, NEW ORLEANS, LA 70115-5431
(504) 237-5006
(504) 891-1493
Mailing address
1801 GENERAL PERSHING ST, NEW ORLEANS, LA 70115-5431
(504) 237-5006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1074
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407007396
—
LA
Enumeration date
09/15/2021
Last updated
09/15/2021
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