Provider Demographics
NPI:1760056246
Name:BALL, EMILY ANNE (AUD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ANNE
Last Name:BALL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2542 E VISTOSO COMMERCE LOOP
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-9123
Mailing Address - Country:US
Mailing Address - Phone:520-825-4770
Mailing Address - Fax:
Practice Address - Street 1:2542 E VISTOSO COMMERCE LOOP
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-9123
Practice Address - Country:US
Practice Address - Phone:520-825-4770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-18
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA13964231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist