Individual
DR. GARY G. BALESTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ABPN, LMFT
Contact information
Practice address
1475 HUNTINGTON AVE, SUITE 201, SOUTH SAN FRANCISCO, CA 94080-5990
(650) 588-3808
(650) 873-5857
Mailing address
1475 HUNTINGTON AVE, SUITE 201, SOUTH SAN FRANCISCO, CA 94080-5990
(650) 588-3808
(650) 873-5857
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY5030
CA
103TC0700X
Clinical Psychologist
PSY5030
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY5030
CA
103TF0200X
Forensic Psychologist
PSY5030
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
PSY5030
CA
103TR0400X
Rehabilitation Psychologist
PSY5030
CA
106H00000X
Marriage & Family Therapist
LMFT6806
CA
Other
Enumeration date
02/01/2006
Last updated
09/11/2025
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