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Individual

DR. THOMAS BALLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8158 WASHINGTON BLVD APT 436, JESSUP, MD 20794-8801
(330) 327-0727
Mailing address
8158 WASHINGTON BLVD APT 436, JESSUP, MD 20794-8801
(330) 327-0727

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810007755
VA
103TC0700X
Clinical Psychologist
Primary
205944
NY

Other

Enumeration date
08/17/2020
Last updated
05/02/2024
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