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Individual

DR. GARY G. BALESTIN

Active
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Individual

DR. GARY G. BALESTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, ABPN, LMFT

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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