NPI Profile for Dr GARY G BALESTIN in SOUTH SAN FRANCISCO, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Clinical Neuropsychologist |
103G00000X | |||
Forensic |
103TF0200X | 62 | Psychologist, Clinical | |
Marriage & Family Therapist |
106H00000X | |||
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI # | 1902878366 |
|
| Status | Active | |
| Credentials | PHD, ABPN, LMFT | |
| Entity | Individual | |
| Enumeration date | 02/01/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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GARY G BALESTIN
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