Individual
DIGEN BALLAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7701 LINDBERGH BLVD, APARTMENT #2205, PHILADELPHIA, PA 19153-2132
(267) 975-6170
Mailing address
P.O. BOX 42753, PHILADELPHIA, PA 19101
(267) 975-6170
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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