Individual
HEIDI BALLATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS, MA
Contact information
Practice address
380 JUNIPER BEND CIR, GREENVILLE, SC 29615-6229
(864) 385-0407
Mailing address
380 JUNIPER BEND CIR, GREENVILLE, SC 29615-6229
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
206082
SC
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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