NPI | 1770192452 |
---|---|
Doing Business As | A. BALL PSYD |
Entity Type | Organization |
Authorized Contact | ANKHESENAMUN BALL MARIONI Owner 510-269-7607 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103G00000X Clinical Neuropsychologist | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2020-07-28 |
Last Update Date | 2021-03-26 |