Lucille Jean Ball, LMFT WITH A PH.D.
Individual provider Active NPI Marriage & Family Therapist · Ashland, OR
NPI 1962763334 · NPPES record last updated Jun 1, 2012
Key facts
- NPI
- 1962763334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- T0431 (OR)
- Practice address
- 1801 Highway 99 N # 3
Ashland, OR 97520-9152 - Phone
- (541) 840-1117
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT29381 | CA | MD | Marriage & Family Therapist |
| T0431 | OR | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0431 | OR | Yes |
| Marriage & Family Therapist | 106H00000X | MFT29381 | CA |
Addresses
Primary practice location
1801 Highway 99 N # 3
Ashland, OR 97520-9152
Mailing address
1801 Highway 99 N # 3
Ashland, OR 97520-9152
Phone (541) 840-1117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | OR | NONE |
Other providers in Ashland, OR
- Lisa Gaye Bailey
- Janet Kay Baker
- Heather Bakner
- Melodee Baldridge
- Jaime Marie Ball
- Molly Ballew
- Scott A Bandoroff
- Angela Barber
- Malinda Barclay
- Barika LLC
All providers in Ashland, OR · Marriage & Family Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2012. 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.