| Holcomb-ballash, Pllc | |
|
1500 Clay Hwy #101 Clay WV 25043 | |
| (304) 549-3188 | |
| Not Available |
| Full Name | Holcomb-ballash, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1500 Clay Hwy #101, Clay, West Virginia |
| Authorized Official Name and Position | Barbara J. Ballash (OWNER) |
| Authorized Official Contact | 3045493188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holcomb-ballash, Pllc 1130 E 346th St Eastlake OH 44095-2946 Ph: (304) 549-3188 | Holcomb-ballash, Pllc 1500 Clay Hwy #101 Clay WV 25043 Ph: (304) 549-3188 |
| NPI Number | 1720547409 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720547409 | NPI | - | NPPES |
| 13834876 | Other | CAQH PROVIDER ID | |
| 1538517354 | Other | INDIVIDUAL PROVIDER/OWNER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Clay County Board Of Education Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 242 Church Street, Clay, WV 25043 Phone: 304-587-2713 Fax: 304-587-4181 | |
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