Balentine, Robert Wade

Balentine, Robert Wade is an sole proprietor health care provider with primary practice located at 19590 Club House Rd , Montgomery Village MD 20886-3002. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Balentine, Robert Wade can be contacted via phone (301) 948-5414.

Contact Information

Primary practice address
19590 Club House Rd Montgomery Village MD 20886-3002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00416 Maryland

Profile Details

NPI number 1043350077
LBN Legal business name Balentine, Robert Wade
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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