Individual provider · Type 1 NPI

Nicole Ballinger, DO

Child & Adolescent Psychiatry Physician · Wauwatosa, WI

NPI number 1104914951 Active

Practice location

1220 Dewey Ave
Wauwatosa, WI 53213

Call (414) 454-6600 Map

Fax (414) 454-6766

Other practice locations

  • 52D Medical Group, Unit 3865, Apo, AE 09126-3865 ·

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X52794-021 (WI)
Child & Adolescent Psychiatry Physician Primary 2084P0804X52794-021 (WI)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1104914951

Nicole Ballinger, DO's National Provider Identifier is 1104914951, issued on Oct 10, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Wauwatosa, WI. The record was last updated on Nov 22, 2021.