Individual provider · Type 1 NPI

Diana Ballard, PhD

Pastoral Counselor · Staten Island, NY

NPI number 1114465564 Active

Practice location

510 Travis Ave
Staten Island, NY 10314-6154

Fax (718) 370-3534

Specialties and licenses

TaxonomyCodeLicense
Pastoral Counselor Primary 101YP1600XBCCC#0557 (NY)

Pastoral Counselor: Definition to come...

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About NPI 1114465564

Diana Ballard, PhD's National Provider Identifier is 1114465564, issued on Feb 6, 2017. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Staten Island, NY. The record was last updated on Apr 21, 2017.