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Contact Information

GARY G BALESTIN, PHD, ABPN, LMFT
1475 HUNTINGTON AVE
SUITE 201
SOUTH SAN FRANCISCO, CA94080-5990
 Phone: 650-588-3808
 Fax: 650-873-5857
 Website:
 

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
Indicates primary specialty

NPI Profile & details for GARY G BALESTIN · (Male)

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
  • CA License # LMFT6806
  • CA License # PSY5030
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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