Provider Demographics
NPI:1023280237
Name:BALL, LINDA TEREK
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:TEREK
Last Name:BALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 BLACKBIRD WAY
Mailing Address - Street 2:APT. 4
Mailing Address - City:LEWISBURG
Mailing Address - State:WV
Mailing Address - Zip Code:24901-1240
Mailing Address - Country:US
Mailing Address - Phone:304-647-6483
Mailing Address - Fax:
Practice Address - Street 1:202 CHESTNUT STREET
Practice Address - Street 2:GREENBRIER COUNTY BOARD OF EDUCATION
Practice Address - City:LEWISBURG
Practice Address - State:WV
Practice Address - Zip Code:24901
Practice Address - Country:US
Practice Address - Phone:304-647-6483
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist