Individual provider · Type 1 NPI

Angela Susan Ballard, LMFT 120205, PCCI

Clinical Psychologist · San Carlos, CA

NPI number 1013431899 Active

Practice location

1033 Laurel St
San Carlos, CA 94070-3918

Call (650) 785-2562 Map

Mailing address

119 Chester St
Menlo Park, CA 94025-2517

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Clinical Psychologist Primary	103TC0700X	LMFT120205 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1013431899

Angela Susan Ballard, LMFT 120205, PCCI's National Provider Identifier is 1013431899, issued on Aug 2, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Carlos, CA. The record was last updated on Jul 28, 2020.