Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAYLA BALCOM, PHD
Active Sole ProprietorKAYLA BALCOM, PHD is a Exercise & Sports Psychologist healthcare provider located in DECATUR, Georgia. NPI 1962077453 is currently active in the NPPES registry. Verify at CMS.
Exercise & Sports Psychologist · DECATUR, GA
Registration Details
- NPI Number
- 1962077453
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2021 (5.191224867029 yrs)
- Last Updated
- May 26, 2021
- Licenses
-
PSY004384 (GA)PSY004384 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2721 WILLIAMSBURG WAYDECATUR, GA, 300341310Browse GA providers · Browse ZIP 30034
- Phone
- 2086818989
- Primary Specialty
-
Exercise & Sports Psychologist
103TE1100X
- Additional Specialty
- Exercise & Sports Psychologist
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.