Rheagan Diane Ballard, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Achille, OK
NPI 1003499484 · NPPES record last updated Jan 10, 2025
Key facts
- NPI
- 1003499484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5533 (OK)
- Practice address
- 201 N 5TH Ave
Achille, OK 74720-0280 - Phone
- (580) 283-3775
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5533 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Today'S Therapy Solutions | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5533 | OK | Yes |
Addresses
Primary practice location
201 N 5TH Ave
Achille, OK 74720-0280
Mailing address
PO Box 280
Achille, OK 74720-0280
Phone (580) 283-3775
Other providers in Achille, OK
All providers in Achille, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.