Shazan Balloul, LSSP
NPI #1023833738 in New Port Richey, Florida
Provider Information
- NPI Number
- 1023833738
- Entity Type
- Individual
- Name
- Shazan Balloul, LSSP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - School
- Credential
- LSSP
- Enumeration Date
- Nov 18, 2024
- Last Updated
- Nov 18, 2024
Practice Location
- Address
- 4507 ACKERMAN ST
- City
- New Port Richey
- State
- Florida
- ZIP Code
- 34653-5204
- Phone
- (832) 955-7265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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