Ballou, Mary Bragg

Ballou, Mary Bragg is an individual health care provider with primary practice located at 69C Island St , Keene NH 03431-3529. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ballou, Mary Bragg can be contacted via phone (603) 354-6700.

Contact Information

Primary practice address
69C Island St Keene NH 03431-3529
Phone: (603) 354-6700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 299 New Hampshire

Profile Details

NPI number 1730167693
LBN Legal business name Ballou, Mary Bragg
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730167693 NPPES
New Hampshire Other 299 LICENSE

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