Individual provider · Type 1 NPI

Gary G. Balestin, PhD, ABPN, LMFT

Intellectual & Developmental Disabilities Psychologist · South San Francisco, CA

NPI number 1902878366 Active

Practice location

1475 Huntington Ave, Suite 201
South San Francisco, CA 94080-5990

Fax (650) 873-5857

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XPSY5030 (CA)
Clinical Psychologist 103TC0700XPSY5030 (CA)
Marriage & Family Therapist 106H00000XLMFT6806 (CA)
Clinical Child & Adolescent Psychologist 103TC2200XPSY5030 (CA)
Rehabilitation Psychologist 103TR0400XPSY5030 (CA)
Forensic Psychologist 103TF0200XPSY5030 (CA)
Intellectual & Developmental Disabilities Psychologist Primary 103TM1800XPSY5030 (CA)

Intellectual & Developmental Disabilities Psychologist: Definition to come...

14 other providers at this address

About NPI 1902878366

Gary G. Balestin, PhD, ABPN, LMFT's National Provider Identifier is 1902878366, issued on Feb 1, 2006. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in South San Francisco, CA. The record was last updated on Sep 11, 2025.