NPI Profile for REBECCA T BALLINGER in MARIPOSA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X |
| NPI Number | 1184358061 |
|
| Status | Active | |
| Credentials | RN, BSN, PHN | |
| Entity | Individual | |
| Enumeration date | 07/15/2022 | |
| Last updated | 07/15/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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REBECCA T BALLINGER
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