Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA SUSAN BALLARD, LMFT 120205, PCCI
Active Sole ProprietorANGELA SUSAN BALLARD, LMFT 120205, PCCI is a Clinical Psychologist healthcare provider located in SAN CARLOS, California. NPI 1013431899 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · SAN CARLOS, CA
Registration Details
- NPI Number
- 1013431899
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2017 (9.0518684084159 yrs)
- Last Updated
- Jul 28, 2020
- License
-
LMFT120205 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1033 LAUREL STSAN CARLOS, CA, 940703918Browse CA providers · Browse ZIP 94070
- Phone
- 6507852562
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in SAN CARLOS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. FARZANEH AMINI | PH.D. | 1790848513 |
| DR. UBALDO F SANCHEZ | PH.D. | 1417001918 |
| DR. KATHLEEN (KAY) BOLTER | PHD | 1578619755 |
| DR. ROBERT LIEB | PH.D. | 1427196559 |
| DR. RUSSELL CHANDLER LLEWELLYN | PH. D. | 1942334578 |
| DR. ELISABETH MEGAN GOODWIN | PSY.D. | 1538399480 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.