Individual
KATELYN RAE BALLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
14715 BRISTOL PARK BLVD, EDMOND, OK 73013-1894
(405) 840-1686
Mailing address
3103 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73116-3131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5922
OK
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/18/2022
Last updated
09/20/2024
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