Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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George Herbert Ballantine, SLP

Individual provider Speech-Language Pathologist · NPI 1154447183

George Herbert Ballantine, SLP is a Speech-Language Pathologist in Corrales, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2007
What do these letters mean?
SLP — Speech-Language Pathologist
Treats speech, language and swallowing disorders.

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Practice location Address checks out

266 Old Church Rd
Corrales, NM 87048-8657
Phone: (505) 890-9064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 771 (NM)

Record details

NPI number1154447183
Entity typeIndividual (Type 1)
GenderMale
Credentials SLP
Sole proprietorYes
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 8, 2007
Mailing address266 Old Church Rd, Corrales, NM 87048-8657

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