MS. Maynon Michelle Ballow, CLINICAL NUTRITION/B

NPI #1801226634 in Dallas, Texas

Provider Information

NPI Number: 1801226634
Entity Type: Individual
Name: MS. Maynon Michelle Ballow, CLINICAL NUTRITION/B
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Health
Credential: CLINICAL NUTRITION/B
Enumeration Date: Nov 14, 2013
Last Updated: Nov 14, 2013

Practice Location

Address: 4209 MCKINNEY AVENUE SUITE 202-C
City: Dallas
State: Texas
ZIP Code: 75207
Phone: (214) 641-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Health — Health	103TH0004X	Primary
Dietitian, Registered - Nutrition, Metabolic — Nutrition, Metabolic	133VN1006X

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