Individual
JUSTINE ELAINE BALLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
8391 OLD COURTHOUSE RD STE 120, VIENNA, VA 22182-3819
(703) 429-1853
Mailing address
7915 JONES BRANCH DR APT 436, TYSONS CORNER, VA 22102-3247
(401) 617-6974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000795
VA
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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