Healthcare Provider Details

I. General information

NPI: 1942327754
Provider Name (Legal Business Name): JULIE BALL VI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2007
Last Update Date: 05/14/2021
Certification Date: 05/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 E KENTUCKY ST
LOUISVILLE KY
40203-2793
US

IV. Provider business mailing address

111 E KENTUCKY ST
LOUISVILLE KY
40203-2793
US

V. Phone/Fax

Practice location:
  • Phone: 502-584-3573
  • Fax: 502-515-3325
Mailing address:
  • Phone: 502-371-9910
  • Fax: 502-515-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: