Jennifer Ann Ball, MSCCCSLP
Individual provider Active NPI Speech-Language Pathologist · Hurricane, WV
NPI 1710035563 · NPPES record last updated Oct 2, 2013
Key facts
- NPI
- 1710035563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1046 (WV)
- Practice address
- 179 Station Place Way
Hurricane, WV 25526-8747 - Phone
- (304) 760-6300
- Fax
- (304) 201-5123
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1046 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones Physical Therapy, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1046 | WV | Yes |
Addresses
Primary practice location
179 Station Place Way
Hurricane, WV 25526-8747
Mailing address
PO Box 450
Scott Depot, WV 25560-0450
Phone (304) 760-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810008288 | Medicaid | WV | |
| 001911418 | Other | WV | BLUE CROSS BLUE SHIELD |
Other providers in Hurricane, WV
- Jeanne Kaye Bailey
- Marsha Lee Bailey
- Shelley Bailey
- Bryanna Lea Baker-Meckley
- Rachel Elizabeth Baldrige-Bush
- Mary C Ballard
- Crystal Lynn Ballengee
- Ulas Darda Bayraktar
- Beaconlight Counseling LLC
- Rebecca Elaine Beaver
All providers in Hurricane, WV · Speech-Language Pathologist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.