Wendy E Balliet, PHD
Psychologist, Clinical in Charleston, SC. Individual provider (NPI-1).
NPI number1144500471
StatusActive
Last updated in NPPESJun 25, 2018
Details
- NPI
- 1144500471
- Entity type
- Individual (NPI-1)
- Name
- Wendy E Balliet
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2011
- Last updated
- Jun 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1193 | SC | Yes |
| 103T00000X | Psychologist | 1193 | SC |
Practice location
171 Ashley AveCharleston, SC 29425
Phone 843-792-1414
Mailing address
Po Box 751461Charlotte, NC 28275-1461
Phone 843-792-6200
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