DR. Mary Bragg Ballou, PHD
NPI #1730167693 in Keene, New Hampshire
Provider Information
- NPI Number
- 1730167693
- Entity Type
- Individual
- Name
- DR. Mary Bragg Ballou, PHD
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Psychologist
- Credential
- PHD
- Enumeration Date
- Jan 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 69C ISLAND ST
- City
- Keene
- State
- New Hampshire
- ZIP Code
- 03431-3529
- Phone
- (603) 354-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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