| Ruth M Ball Phd Llc | |
|
233 Hydraulic Ridge Rd Ste 204 Charlottesville VA 22901-8129 | |
| (434) 979-5783 | |
| Not Available |
| Full Name | Ruth M Ball Phd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 233 Hydraulic Ridge Rd Ste 204, Charlottesville, Virginia |
| Authorized Official Name and Position | Ruth M Ball (MEMBER/OWNER) |
| Authorized Official Contact | 4344095269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth M Ball Phd Llc 233 Hydraulic Ridge Rd Ste 204 Charlottesville VA 22901-8129 Ph: (434) 979-5783 | Ruth M Ball Phd Llc 233 Hydraulic Ridge Rd Ste 204 Charlottesville VA 22901-8129 Ph: (434) 979-5783 |
| NPI Number | 1306410899 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Medicare PECOS PAC ID | 5092118281 |
|---|---|
| Medicare Enrollment ID | O20210726002563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306410899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ruth M Ball |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811089436 PECOS PAC ID: 4284885096 Enrollment ID: I20121102000404 |
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