Individual
ANKHESENAMUN BALL MARIONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
600 GRAND AVE STE 301, OAKLAND, CA 94610-3548
(510) 269-7607
Mailing address
1918 BONITA AVE # 200, BERKELEY, CA 94704-1014
(510) 269-7607
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
24781
CA
103TF0200X
Forensic Psychologist
—
—
Other
Enumeration date
07/08/2008
Last updated
11/13/2023
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