Dr. Diana Ballard
Pastoral Counselor
510 Travis Ave
Staten Island
, New York 10314-6154
Dr. Diana Ballard
Pastoral Counselor
510 Travis Ave
Staten Island
, New York 10314-6154
(718) 370-3534
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Dr. Diana Ballard
- 510 Travis Ave
- Staten Island, NY
- Zip : 10314-6154
- Fax : (718) 370-3534
- Phone : (917) 763-2476
Second Address
- Dr. Diana Ballard
- 510 Travis Ave
- Staten Island, NY
- Zip : 10314-6154
- Fax : (718) 370-3534
- Phone : (917) 763-2476
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | BCCC#0557 | NY |
National Provider Identifier
| NPI | 1114465564 |
|---|---|
| Provider Name | Dr. Diana Ballard |
| First Address | Staten Island, NY 10314-6154 |
| Second Address | Staten Island, NY 10314-6154 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2017 |
| Last Update Date | 21/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.