Balestin, Gary G.
Balestin, Gary G. is an sole proprietor health care provider with primary practice located at 1475 Huntington Ave Suite 201, South San Francisco CA 94080-5990. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Balestin, Gary G. can be contacted via phone (650) 588-3808.Contact Information
Primary practice address
1475 Huntington Ave Suite 201
South San Francisco CA 94080-5990
Phone: (650) 588-3808
Fax: (650) 873-5857
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY5030 | California |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY5030 | California |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT6806 | California |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY5030 | California |
Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | PSY5030 | California |
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | PSY5030 | California |
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PSY5030 | California |
Profile Details
NPI number | 1902878366 |
---|---|
LBN Legal business name | Balestin, Gary G. |
Credentials | PHD, ABPN, LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 1st, 2006 |
Last updated | Jul 8th, 2007 - about 17 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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