Individual
MRS. AMY NICOLE BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2200 MEMORIAL DR, ALEXANDRIA, LA 71301-3611
(318) 445-4300
Mailing address
920 TWIN BRIDGES RD, APT 157, ALEXANDRIA, LA 71303-2065
(337) 794-9131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5759
LA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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