Thomas Byron Ballard in San Juan Capistrano - Clinical
Thomas Byron Ballard - NPI 1497837314
Thomas Byron Ballard is a Clinical in San Juan Capistrano, California. Thomas Byron Ballard practices all healthcare services and medical treatments related to Clinical. The NPI Number for Thomas Byron Ballard is 1497837314. The last update date is 2007-07-08.
Thomas Byron Ballard's current location address is 26891 Spring St, San Juan Capistrano, California. You can contact this provider via phone number 9493617891 and fax number 9493617895. The mailing address for Thomas Byron Ballard is 26891 Spring St, San Juan Capistrano, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Byron Ballard |
|---|---|
| Address | 26891 Spring St, San Juan Capistrano, California |
| Phone Number | 9493617891 |
| Fax Number | 9493617895 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497837314 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 26891 Spring St |
|---|---|
| City | San Juan Capistrano |
| State | California (CA) |
| Post Code | 926752692 |
| Phone Number | 9493617891 |
| Fax Number | 9493617895 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY11676 |
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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 |
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What is the unique 10-digit identification code assigned to Thomas Byron Ballard by the Centers for Medicare & Medicaid Services?
The Thomas Byron Ballard has been issued the NPI (National Provider Identifier) 1497837314, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Thomas Byron Ballard is physically located?
The Thomas Byron Ballard is physically situated at the following address: 26891 Spring St, San Juan Capistrano, CA, 926752692.
What is the Thomas Byron Ballard's specialty and taxonomy code?
The Thomas Byron Ballard's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497837314 to Thomas Byron Ballard?
The Centers for Medicare & Medicaid Services originally issued the 1497837314 to Thomas Byron Ballard on 2006-10-19.
As of what date were the details related to Thomas Byron Ballard most recently updated or revised?
The information pertaining to Thomas Byron Ballard, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.