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1316221260
LISA BALLARD
GREENBRAE, CA
NPI
1316221260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA PSY25854)
Enumeration Date
2011-10-10
Last Update Date
2014-05-15
Business Address
-- LISA BALLARD Psy.D.
250 BON AIR RD UNIT B
GREENBRAE, CA 94904-1702
Phone number: 415-473-6666
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Mailing Address
-- LISA BALLARD Psy.D.
250 BON AIR RD UNIT B
GREENBRAE, CA 94904-1702
Phone number:
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