Basic Information
| Provider Information | |||||||||
| NPI: | 1427770825 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BALL | ||||||||
| FirstName: | MADALINE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 599C STEED RD | ||||||||
| Address2: | |||||||||
| City: | RIDGELAND | ||||||||
| State: | MS | ||||||||
| PostalCode: | 391571707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6016056777 | ||||||||
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| Practice Location | |||||||||
| Address1: | 120 VETERANS DR | ||||||||
| Address2: | |||||||||
| City: | OXFORD | ||||||||
| State: | MS | ||||||||
| PostalCode: | 386553578 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6622595516 | ||||||||
| FaxNumber: | 6622595517 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2022 | ||||||||
| LastUpdateDate: | 09/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | S4829 | MS | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.