George Herbert Ballantine, SLP

NPI #1154447183 in Corrales, New Mexico

Provider Information

NPI Number
1154447183
Entity Type
Individual
Name
George Herbert Ballantine, SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
SLP
Enumeration Date
Mar 21, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
266 OLD CHURCH RD
ZIP Code
87048-8657
Phone
(505) 890-9064

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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