Provider Demographics
NPI:1679757363
Name:BALL, MELISSA ANN (BS, MSED, NCC, LMCH)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANN
Last Name:BALL
Suffix:
Gender:F
Credentials:BS, MSED, NCC, LMCH
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:KORZENIEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:784 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1548
Mailing Address - Country:US
Mailing Address - Phone:716-372-3550
Mailing Address - Fax:716-372-3555
Practice Address - Street 1:784 MAIN ST
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1548
Practice Address - Country:US
Practice Address - Phone:716-372-3550
Practice Address - Fax:716-372-3555
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor