Individual
SHALINI BHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
57 HIGHLAND AVE, SALEM, MA 01970-2141
(978) 354-2700
(978) 740-4902
Mailing address
57 HIGHLAND AVE, SALEM, MA 01970-2141
(978) 354-2700
(978) 740-4902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8704
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000358319
ANTHEM BCBS
IN
05
—
200514390
—
IN
05
—
200542200
—
IN
01
—
600018-048
MAGELLAN
IN
Enumeration date
08/09/2005
Last updated
04/18/2012
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