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Heather Ann Ballou Wells, M.A., CCC-SLP

Speech-Language Pathologist, in Gresham, OR. Individual provider (NPI-1).

NPI number1467201277
StatusActive
Last updated in NPPESMay 14, 2024

Details

NPI
1467201277
Entity type
Individual (NPI-1)
Name
Heather Ann Ballou Wells
Credential
M.A., CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2024
Certification date
May 14, 2024
Last updated
May 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,011965ORYes

Practice location

1331 Nw Eastman Pkwy
Gresham, OR 97030-3896

Phone 503-264-4653 · Fax 503-261-4669

Mailing address

39995 Mitchell Ct
Sandy, OR 97055-9318

Phone 503-914-7761

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