Provider Demographics
NPI:1528220571
Name:BALL, JULIE ANN (MA)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:BALL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N HARBOR BLVD
Mailing Address - Street 2:STE #110
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2510
Mailing Address - Country:US
Mailing Address - Phone:714-535-7508
Mailing Address - Fax:714-535-4086
Practice Address - Street 1:200 N HARBOR BLVD
Practice Address - Street 2:STE #110
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-2510
Practice Address - Country:US
Practice Address - Phone:714-535-7508
Practice Address - Fax:714-535-4086
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1708237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter