Cheryl Ball, LMFT

Individual provider Active NPI Marriage & Family Therapist · Monroe, CT

NPI 1629319025 · NPPES record last updated Jun 1, 2015

Key facts

NPI
1629319025
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1500 (CT)
Practice address
755 Main St
BLDG 2, Suite 1
Monroe, CT 06468-2830
Phone
(203) 383-9872
NPI assigned
Mar 9, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1500CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Development LLC Marriage & Family Therapist Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1500 CT Yes

Addresses

Primary practice location

755 Main St
BLDG 2, Suite 1
Monroe, CT 06468-2830

Mailing address

323 Webb Cir
Monroe, CT 06468-1453
Phone (203) 383-9872

Other providers in Monroe, CT

All providers in Monroe, CT · Marriage & Family Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.