Provider Demographics
NPI:1306410899
Name:RUTH M BALL PHD LLC
Entity Type:Organization
Organization Name:RUTH M BALL PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:M
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:434-409-5269
Mailing Address - Street 1:233 HYDRAULIC RIDGE RD STE 204
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8129
Mailing Address - Country:US
Mailing Address - Phone:434-979-5783
Mailing Address - Fax:
Practice Address - Street 1:233 HYDRAULIC RIDGE RD STE 204
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-8129
Practice Address - Country:US
Practice Address - Phone:434-979-5783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health