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Individual

DR. JEAN BALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFC

Contact information

Practice address
18757 BURBANK BLVD STE 125, TARZANA, CA 91356-3345
(818) 776-9724
Mailing address
18757 BURBANK BLVD STE 125, TARZANA, CA 91356-3345
(818) 776-9724

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MFC 30687
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MFC 30687
LICENSE #
CA
Enumeration date
07/21/2008
Last updated
07/28/2008
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