Provider Demographics
NPI:1932279148
Name:BALL, JOANNA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:M
Last Name:BALL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WHITE PLAINS RD STE 208
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5521
Mailing Address - Country:US
Mailing Address - Phone:212-920-5059
Mailing Address - Fax:888-325-0080
Practice Address - Street 1:150 WHITE PLAINS RD STE 208
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5521
Practice Address - Country:US
Practice Address - Phone:212-920-5059
Practice Address - Fax:888-325-0080
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016784103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical