Provider Demographics
NPI:1871735985
Name:BALLARD, MARGARET ANN (LCSW/LMFT/PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:BALLARD
Suffix:
Gender:F
Credentials:LCSW/LMFT/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 HILLCREST DR.
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-1432
Mailing Address - Country:US
Mailing Address - Phone:812-853-6649
Mailing Address - Fax:812-858-5121
Practice Address - Street 1:223 HILLCREST DR.
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-1432
Practice Address - Country:US
Practice Address - Phone:812-853-6649
Practice Address - Fax:812-858-5121
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000605 MB1041C0700X
IN35000276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist