| NPI | 1720015779 |
|---|---|
| Other Name | BUDDY C BALLINGER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 014946) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: NY 014946) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-06-25 |