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

Richard Ballou

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407486103

Richard Ballou is a Student in an Organized Health Care Education/Training Program in Raleigh, North Carolina. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4201 Lake Boone Trl Ste 4
Raleigh, NC 27607-7511
Phone: (919) 781-4434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S. Ave K, Portales, NM 88130 — (575) 562-2156

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407486103
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 12, 2023
Mailing address4201 Lake Boone Trl Ste 4, Raleigh, NC 27607-7511

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