Provider Demographics
NPI:1588088199
Name:BALL MURPHY, RITA IRENE (AUD)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:IRENE
Last Name:BALL MURPHY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:18111 PRINCE PHILIP DR STE 224
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1504
Mailing Address - Country:US
Mailing Address - Phone:301-774-0074
Mailing Address - Fax:301-774-0640
Practice Address - Street 1:18111 PRINCE PHILIP DR STE 224
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1504
Practice Address - Country:US
Practice Address - Phone:301-774-0074
Practice Address - Fax:301-774-0640
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAUD000092231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD516094ZCF7Medicare PIN