Jerry G Balaban is a Clinical in Davis, California. Jerry G Balaban practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry G Balaban is 1043435332. The last update date is 2007-07-08.
Jerry G Balaban's current location address is 3000 Woods Cir, Davis, California. You can contact this provider via phone number 5392194528. The mailing address for Jerry G Balaban is 3000 Woods Cir, Davis, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry G Balaban |
|---|---|
| Address | 3000 Woods Cir, Davis, California |
| Phone Number | 5392194528 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1043435332 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3000 Woods Cir |
|---|---|
| City | Davis |
| State | California (CA) |
| Post Code | 956162678 |
| Phone Number | 5392194528 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY18667 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY18667 | CA | CALIF LIC |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry G Balaban by the Centers for Medicare & Medicaid Services?
The Jerry G Balaban has been issued the NPI (National Provider Identifier) 1043435332 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerry G Balaban?
The Jerry G Balaban is situated at 3000 Woods Cir, in the city of Davis, state of CA, with the zip code 956162678.
What is Jerry G Balaban's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry G Balaban is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did Jerry G Balaban receive its 1043435332 assignment?
The Jerry G Balaban was assigned its 1043435332 on 2007-04-13, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jerry G Balaban, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jerry G Balaban, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.