Organization
HOLCOMB-BALLASH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA J. BALLASH (OWNER)
(304) 549-3188
Entity
Organization
Contact information
Practice address
1500 CLAY HWY #101, CLAY, WV 25043
(304) 549-3188
Mailing address
1130 E 346TH ST, EASTLAKE, OH 44095-2946
(304) 549-3188
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13834876
CAQH PROVIDER ID
—
01
—
1538517354
INDIVIDUAL PROVIDER/OWNER NPI
—
Enumeration date
03/13/2019
Last updated
02/21/2020
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