Provider Demographics
NPI:1902127012
Name:WALKER-BALLEW, SUSAN D (SLP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:D
Last Name:WALKER-BALLEW
Suffix:
Gender:
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3088 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8355
Mailing Address - Country:US
Mailing Address - Phone:828-438-1852
Mailing Address - Fax:
Practice Address - Street 1:3088 VILLAGE DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8355
Practice Address - Country:US
Practice Address - Phone:828-438-1852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-13
Last Update Date:2025-04-25
Deactivation Date:2019-12-23
Deactivation Code:
Reactivation Date:2025-04-25
Provider Licenses
StateLicense IDTaxonomies
NC8812235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist