Individual
SANDRA M BALLESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D
Contact information
Practice address
602 COVENTRY RD, DAVENPORT, FL 33897-3899
(863) 424-0194
Mailing address
PO BOX 135157, CLERMONT, FL 34713-5157
(863) 424-0194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7428
FL
Other
Enumeration date
02/27/2008
Last updated
02/12/2026
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