Ballard, Thomas Byron

Ballard, Thomas Byron is an individual health care provider with primary practice located at 26891 Spring St , San Juan Capistrano CA 92675-2692. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ballard, Thomas Byron can be contacted via phone (949) 361-7891.

Contact Information

Primary practice address
26891 Spring St San Juan Capistrano CA 92675-2692
Phone: (949) 361-7891
Fax: (949) 361-7895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY11676 California

Profile Details

NPI number 1497837314
LBN Legal business name Ballard, Thomas Byron
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 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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