Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | NY | |
N | 103T00000X | Psychologist | NY | |
N | 103TS0200X | School Psychologist | NY | |
Y | 1041C0700X | Clinical Social Worker | 056522 | NY |
NPI | 1083967202 |
---|---|
Provider Name | Dr. Helen Ballas |
First Address | Huntington, NY 11743-2863 |
Second Address | Huntington, NY 11743-2863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2012 |
Last Update Date | 23/06/2014 |