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JULIET IANNOLI-BALLARD
School >> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1669044053
Individual Registrant: JULIET IANNOLI-BALLARD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2539 GWEN PL OCEANO, CA 93445-9160 US
Tel: 805-235-9269 Fax: --
Tel: 805-235-9269 Fax: --
Contact information for business:
2539 GWEN PL OCEANO, CA 93445-9160 US
Tel: 805-235-9269 Fax: --
Tel: 805-235-9269 Fax: --
Registration Information:
NPI: 1669044053
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103TS0200X | Behavioral Health & Social Service Providers Psychologist School |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
