Individual
MARY MICHELLE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
(918) 494-8915
Mailing address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
(918) 494-8915
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
340
OK
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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