Ballentine, Maria Campbell

Ballentine, Maria Campbell is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Ballentine, Maria Campbell can be contacted via phone (774) 442-3996.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (774) 442-3996
Fax: (774) 442-5170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 01409 Maryland
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 4804 Massachusetts

Profile Details

NPI number 1235799917
LBN Legal business name Ballentine, Maria Campbell
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2019
Last updated Dec 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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