Most Relevant Information
Provider Data
| NPI Number: | 1003499484 |
| Provider Name: | RHEAGAN DIANE BALLARD M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5533 |
Most Important Dates
| Enumeration Date: | 05/03/2021 |
| Last Updated: | 08/01/2022 |
Provider Practice Location
2828 NW 57TH ST STE 100
OKLAHOMA CITY
OK
731127091
Practice Location Phone/Fax
| Phone: | 4052863749 |
| Fax: |
Provider Mailing Location
1920 ASPEN PL
SHAWNEE
OK
748042419
Provider Mailing Phone/Fax
| Phone: | 5809162282 |
| Fax: |