Provider Demographics
NPI:1790023687
Name:BALL, STEVEN EDWARD (PHD)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:EDWARD
Last Name:BALL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4817 MEDICAL CENTER DR
Mailing Address - Street 2:UNIT 3A
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1886
Mailing Address - Country:US
Mailing Address - Phone:903-366-3263
Mailing Address - Fax:214-548-4837
Practice Address - Street 1:4817 MEDICAL CENTER DR
Practice Address - Street 2:UNIT 3A
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1886
Practice Address - Country:US
Practice Address - Phone:903-366-3263
Practice Address - Fax:214-548-4837
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20911103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist