| Doctor Name: | CHANTELLE BALLARD VARNADO |
| NPI Number: | 1154622868 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 2202006179 |
| Business Practice Address: | 2211 Augusta Ln Launch Denham Springs, LA - 707264933 |
| Business Phone Number: | 2252381741 |
| Business Fax Number: | 2253418749 |
| Mailing Address: | 2211 Augusta Ln, Launch DENHAM SPRINGS |
| State: | LA |
| Postal Code: | 707264933 |
| Phone Number: | 2252381741 |
| Fax Number: | 2253418749 |
| NPI Enumeration Date: | 11/11/2010 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202006179 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |