MARY BALLOU CP

Dr MARY BALLOU CP is a female medical professional, specializing in Psychologist, Clinical. She graduated in 1976.

Contact

196 WASHINGTON ST
KEENE
NH
034313113

Tel: 6033520088

MARY BALLOU CP Information

Npi 1730167693
Pac Id 0840201539
Professional Enrollment Id I20060509000755
Last Name BALLOU
First Name MARY
Middle Name
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Gender F
Credential CP
Medical School Name OTHER
Graduation Year 1976
Primary Specialty PSYCHOLOGIST, CLINICAL
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Secondary Specialty 4
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Number Of Group Practice Members
Line 1 Street Address 196 WASHINGTON ST
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Marker Of Address Line 2 Suppression
City KEENE
State NH
Zip Code 034313113
Phone Number 6033520088
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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