Robert Wade Balentine, PH.D.

NPI #1043350077 in Montgomery Village, Maryland

Provider Information

NPI Number: 1043350077
Entity Type: Individual
Name: Robert Wade Balentine, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Feb 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 19590 CLUB HOUSE RD
City: Montgomery Village
State: Maryland
ZIP Code: 20886-3002
Phone: (301) 948-5414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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