Individual
DR. SHERI JILL BALSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1930 S BROAD ST UNIT 11, PHILADELPHIA, PA 19145-2328
(800) 897-5252
Mailing address
4041 RIDGE AVE APT 18508, PHILADELPHIA, PA 19129-1557
(516) 732-1735
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018873
PA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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