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LISA BALLARD PSY.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1316221260

Individual Registrant:
 LISA  BALLARD PSY.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
250 BON AIR RD UNIT B GREENBRAE, CA 94904-1702 US
Tel: 415-473-6666  Fax: --

Contact information for business:
250 BON AIR RD UNIT B GREENBRAE, CA 94904-1702 US
Tel: --  Fax: --

Registration Information:
NPI: 1316221260
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY25854

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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