Justine Elaine Ballou, MS, CF-SLP
Speech-Language Pathologist, in Vienna, VA. Individual provider (NPI-1).
NPI number1942979158
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1942979158
- Entity type
- Individual (NPI-1)
- Name
- Justine Elaine Ballou
- Credential
- MS, CF-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2021
- Certification date
- Sep 9, 2021
- Last updated
- Sep 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2204000795 | VA | Yes |
Practice location
8391 Old Courthouse Rd Ste 120Vienna, VA 22182-3819
Phone 703-429-1853
Mailing address
7915 Jones Branch Dr Apt 436Tysons Corner, VA 22102-3247
Phone 401-617-6974
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All 42 Speech-Language Pathologist providers in Vienna · All 2,205 providers in Vienna
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