NPI 1104097856 · live from the CMS NPI Registry
Carmen Ball
Speech-Language Pathologist, in Beckley, WV. National Provider Identifier 1104097856, active.
NPI record
| NPI | 1104097856 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 400 Neville St, Beckley, WV 25801 |
| Practice phone | 304-256-4712 |
| Enumerated | March 20, 2008 |
| Last updated | March 20, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 00658310 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.