Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY BETH BALLE, PMHCNS-BC, RN
ActiveMARY BETH BALLE, PMHCNS-BC, RN is a Psychiatric/Mental Health, Child & Adolescent CNS healthcare provider located in BLOOMINGTON, Indiana. NPI 1841575735 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Child & Adolescent CNS · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1841575735
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2011 (14.658558101219 yrs)
- Last Updated
- Dec 15, 2021
- Licenses
-
28160285A (IN)2010016860 (IN)71003908A (IN)71003908A (IN)
Practice Information
- Address
-
350 S LANDMARK AVEBLOOMINGTON, IN, 474035001Browse IN providers · Browse ZIP 47403
- Phone
- 8123352434
- Fax
- 8123357604
- Primary Specialty
-
Psychiatric/Mental Health, Child & Adolescent CNS
364SP0807X
- Additional Specialty
- Psychiatric/Mental Health Nurse
- Additional Specialty
- Psychiatric/Mental Health, Community CNS
- Additional Specialty
- Psychiatric/Mental Health, Child & Adolescent CNS
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.