Kathryn Ballance, SLP
Individual provider Active NPI Speech-Language Pathologist · La Follette, TN
NPI 1497061808 · NPPES record last updated Dec 21, 2021
Key facts
- NPI
- 1497061808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7766 (TN)
- Practice address
- 136 Davis LN
La Follette, TN 37766-3118 - Phone
- (423) 562-0760
- NPI assigned
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7766 | TN | MD | Speech-Language Pathologist |
| 104495 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S. Potts and Professionals, Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 104495 | TX | |
| Speech-Language Pathologist | 235Z00000X | 7766 | TN | Yes |
Addresses
Primary practice location
136 Davis LN
La Follette, TN 37766-3118
Mailing address
136 Davis LN
La Follette, TN 37766-3118
Phone (423) 562-0760
Other providers in La Follette, TN
- Andrew W Howard, OD, PLLC
- Brittany Ary
- Lisa Renee Asbury
- Barbara Jane Baird
- Charles T Baker Jr.
- Michael G. Barney
- Roseann Michelle Basarich
- Be Your Best Health and Wellness Center, LLC
- Sarah Begliutti
- Billy Whittington LLC
All providers in La Follette, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2021. 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.