DIANA BALLARD

STATEN ISLAND, NY
NPI1114465564
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP1600X Counselor, Pastoral
(Licence: NY  BCCC#0557)
Enumeration Date2017-02-06
Last Update Date2017-04-21
Business Address
Dr. DIANA BALLARD PhD
510 TRAVIS AVE
STATEN ISLAND, NY 10314-6154
Phone number: 917-763-2476
Mailing Address
Dr. DIANA BALLARD PhD
510 TRAVIS AVE
STATEN ISLAND, NY 10314-6154
Phone number: 917-763-2476