Ballard, Lisa

Ballard, Lisa is an individual health care provider with primary practice located at 250 Bon Air Rd Unit B, Greenbrae CA 94904-1702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ballard, Lisa can be contacted via phone (415) 473-6666.

Contact Information

Primary practice address
250 Bon Air Rd Unit B Greenbrae CA 94904-1702
Phone: (415) 473-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY25854 California

Profile Details

NPI number 1316221260
LBN Legal business name Ballard, Lisa
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2011
Last updated May 15th, 2014 - about 11 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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