Healthcare Provider Details

I. General information

NPI: 1821918897
Provider Name (Legal Business Name): MARGARET BALLARD MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MAGGIE BALLARD

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CAROLINE ST
BALTIMORE MD
21287-0006
US

IV. Provider business mailing address

601 N CAROLINE ST
BALTIMORE MD
21287-0006
US

V. Phone/Fax

Practice location:
  • Phone: 803-464-1909
  • Fax:
Mailing address:
  • Phone: 803-464-1909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number03323L
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: