Doctor Name: | MS. NINA LYNN BALL |
NPI Number: | 1225224520 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CSAC |
License Number: | 12460132CSAC |
Business Practice Address: | 2266 N Prospect Ave 4th Floor Milwaukee, WI - 53211 |
Business Phone Number: | 4149621200 |
Business Fax Number: | 4149622305 |
Mailing Address: | Po Box 11564, 2266 N Prospect Ave 4th Floor MILWAUKEE |
State: | WI |
Postal Code: | 53211 |
Phone Number: | 4149621200 |
Fax Number: | 4149622305 |
NPI Enumeration Date: | 09/20/2007 |
NPI Last Update Date: | 09/20/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 12460132CSAC |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |