Individual
MRS. KELLY RENEE BALLANTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3906 NE 50TH ST, SEATTLE, WA 98105-3031
(713) 231-7619
Mailing address
3906 NE 50TH ST, SEATTLE, WA 98105-3031
(713) 231-7619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60220368
WA
Other
Enumeration date
01/29/2007
Last updated
10/25/2012
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