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Dr. Scott Nicholas Ballinger, PsyD

Psychologist in Upland, CA. Individual provider (NPI-1).

NPI number1982125332
StatusActive
Last updated in NPPESJun 29, 2020

Details

NPI
1982125332
Entity type
Individual (NPI-1)
Name
Dr. Scott Nicholas Ballinger
Credential
PsyD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 6, 2017
Certification date
Jun 29, 2020
Last updated
Jun 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist29441CAYes

Practice location

1476 N Pinebrook Ave
Upland, CA 91786-2680

Phone 909-843-5792

Mailing address

1476 N Pinebrook Ave
Upland, CA 91786-2680

Phone 909-843-5792

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