Ballou-Broadnax, Traci R
Ballou-Broadnax, Traci R is an individual health care provider with primary practice located at 312 Neff Ave , Harrisonburg VA 22801-3429. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ballou-Broadnax, Traci R can be contacted via phone (540) 433-2858.Contact Information
Primary practice address
312 Neff Ave
Harrisonburg VA 22801-3429
Phone: (540) 433-2858
Fax: (540) 433-1175
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810007624 | Virginia |
Profile Details
| NPI number | 1235801614 |
|---|---|
| LBN Legal business name | Ballou-Broadnax, Traci R |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2021 |
| Last updated | Oct 4th, 2021 - about 3 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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