Individual
HEATHER ANN BALLIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7022
Mailing address
11640 N TATUM BLVD UNIT 3036, PHOENIX, AZ 85028-1692
(509) 432-4429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6171
AZ
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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