Mary Bragg Ballou is a Psychologist in Keene, New Hampshire. Mary Bragg Ballou practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Bragg Ballou is 1730167693. The last update date is 2007-07-08.
Mary Bragg Ballou's current location address is 69c Island St, Keene, New Hampshire. You can contact this provider via phone number 6033546700. The mailing address for Mary Bragg Ballou is 69c Island St, Keene, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Bragg Ballou |
|---|---|
| Address | 69c Island St, Keene, New Hampshire |
| Phone Number | 6033546700 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1730167693 |
|---|---|
| Provider Enumeration Date | 2006-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 69c Island St |
|---|---|
| City | Keene |
| State | New Hampshire (NH) |
| Post Code | 34313529 |
| Phone Number | 6033546700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 299 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 299 | NH | LICENSE |
Post Comment/ Review Below
What is the Mary Bragg Ballou's unique identification number?
The Mary Bragg Ballou has been assigned the NPI (National Provider Identifier) Number 1730167693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Mary Bragg Ballou is geographically located?
The Mary Bragg Ballou is physically situated at the following location: 69C Island St, Keene, NH, 34313529.
What is Mary Bragg Ballou's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Bragg Ballou's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did Mary Bragg Ballou receive its 1730167693 assignment from the Centers for Medicare & Medicaid Services?
The Mary Bragg Ballou was assigned its 1730167693 on 2006-01-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mary Bragg Ballou most recently updated or revised?
The details related to Mary Bragg Ballou, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.