Active NPIIndividual provider

Maria C Ballentine, AUD

Audiologist in Worcester, Massachusetts

NPI Number1235799917
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
774-442-5170
Last updated
December 3, 2020

Maria Campbell Ballentine is an Audiologist based in Worcester, MA. Maria Campbell Ballentine practices in Worcester, MA and has the professional credentials of AUD. The NPI Number for Maria Campbell Ballentine is 1235799917 and holds a License No. 01409 (MD). The current practice location address for Maria Campbell Ballentine is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-442-3996 and via fax at 774-442-5170.

Provider Profile Details

NPI Number
1235799917
Provider Name
Maria Campbell Ballentine
Credential
AUD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
774-442-3996
Fax Number
774-442-5170
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2019
Last Update Date
December 3, 2020
Certification Date
December 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
774-442-3996
Fax Number
774-442-5170
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number (1)
01409
License State (1)
MD
Taxonomy (1)
Audiologist · 231H00000X
License Number (2)
4804
License State (2)
MA
Taxonomy (2)
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maria C Ballentine, AUD?

The NPI number of Maria C Ballentine, AUD is 1235799917. It was assigned on June 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Maria C Ballentine, AUD?

Maria C Ballentine, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in MD under license number 01409.

Where does Maria C Ballentine, AUD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-442-3996 (phone) or 774-442-5170 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235799917 directly on the NPPES registry website.

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