Provider Demographics
NPI:1861719395
Name:JULIE A BALL AUDIOLOGY P C
Entity type:Organization
Organization Name:JULIE A BALL AUDIOLOGY P C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:714-535-7508
Mailing Address - Street 1:200 N HARBOR BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2511
Mailing Address - Country:US
Mailing Address - Phone:714-535-7508
Mailing Address - Fax:714-535-4086
Practice Address - Street 1:200 N HARBOR BLVD STE 110
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-2511
Practice Address - Country:US
Practice Address - Phone:714-535-7508
Practice Address - Fax:714-535-4086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1708237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty