Heather Petrillo Balog
NPI #1427634351 in Santa Ana, California
Provider Information
- NPI Number
- 1427634351
- Entity Type
- Individual
- Name
- Heather Petrillo Balog
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Mar 22, 2021
- Last Updated
- Mar 22, 2021
Practice Location
- Address
- 1715 E WILSHIRE AVE
- City
- Santa Ana
- State
- California
- ZIP Code
- 92705-4644
- Phone
- (714) 245-6769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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