Ildiko Balla, PH.D. Valid NPI
Individual provider · Clinical Psychologist · Fort Worth, TX
- NPI
- 1437368446
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Psychologist (Psychologist)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103TC0700X
- License number
- 32879 (TX)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-05-22
- Last updated
- 2012-03-07
Practice location
4200 S Hulen St Ste 658
Fort Worth, TX 76109-4987
(682) 597-3933