Ballard, Diana
Ballard, Diana is an sole proprietor health care provider with primary practice located at 510 Travis Ave , Staten Island NY 10314-6154. She recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as her primary health care specialty. Ballard, Diana can be contacted via phone (917) 763-2476.Contact Information
Primary practice address
510 Travis Ave
Staten Island NY 10314-6154
Phone: (917) 763-2476
Fax: (718) 370-3534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | BCCC#0557 | New York |
Profile Details
| NPI number | 1114465564 |
|---|---|
| LBN Legal business name | Ballard, Diana |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2017 |
| Last updated | Apr 21st, 2017 - about 8 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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