Doctor Name: | MS. ALISA CAROL BALL |
NPI Number: | 1780830265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | LL00003379 |
Business Practice Address: | 274 Old Homestead Road Lopez Island, WA - 98261 |
Business Phone Number: | 3604689032 |
Business Fax Number: | |
Mailing Address: | Po Box 871, LOPEZ ISLAND |
State: | WA |
Postal Code: | 982610871 |
Phone Number: | 3604689032 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 08/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL00003379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |