Individual
DR. ELLEN BALKAM LENT
Active
Individual
DR. ELLEN BALKAM LENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
03207
MD
103TB0200X
Cognitive & Behavioral Psychologist
03207
MD
103TC1900X
Counseling Psychologist
Primary
03207
MD
103TH0100X
Health Service Psychologist
03207
MD
Other
Enumeration date
03/27/2008
Last updated
03/02/2012
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