Ellen J Balis is a Clinical in Antioch, California. Ellen J Balis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen J Balis is 1831303908. The last update date is 2007-07-08.
Ellen J Balis's current location address is 4208 Spaulding St, Antioch, California. You can contact this provider via phone number 9257833640. The mailing address for Ellen J Balis is 4208 Spaulding St, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen J Balis |
|---|---|
| Address | 4208 Spaulding St, Antioch, California |
| Phone Number | 9257833640 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1831303908 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4208 Spaulding St |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945318220 |
| Phone Number | 9257833640 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 18031 |
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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 Ellen J Balis by the Centers for Medicare & Medicaid Services?
The Ellen J Balis has been issued the NPI (National Provider Identifier) 1831303908, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ellen J Balis is located?
The Ellen J Balis is situated at the following address: 4208 Spaulding St, Antioch, CA, 945318220.
What is Ellen J Balis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ellen J Balis's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date was the 1831303908 assigned to Ellen J Balis?
The Ellen J Balis was issued its 1831303908 on 2007-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Ellen J Balis's details last updated?
The information pertaining to the Ellen J Balis, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1215930425
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