Doctor Name: | MR. TIMOTHY GRANT BALL |
NPI Number: | 1215374442 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | KY-1458 |
Business Practice Address: | 209 Clover Way Morehead, KY - 403518412 |
Business Phone Number: | 6067762718 |
Business Fax Number: | |
Mailing Address: | 209 Clover Way, MOREHEAD |
State: | KY |
Postal Code: | 403518412 |
Phone Number: | 6067762718 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2013 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY-1458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |