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ASHLEY BALLENTINE M.S. CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1275911513

Individual Registrant:
 ASHLEY  BALLENTINE M.S. CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
851 E 5TH ST  RIFLE, CO 81650-2941 US
Tel: 814-221-1021  Fax: --

Contact information for business:
2481 THUNDER MOUNTAIN DR UNIT 58  GRAND JUNCTION, CO 81505-4847 US
Tel: 814-221-1021  Fax: --

Registration Information:
NPI: 1275911513
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
COSLP.0001785

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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