Ildiko Balla, PH.D.

Clinical Psychologist · Fort Worth, TX

Individual Active NPI

NPI number 1437368446

Practice location

4200 S Hulen St Ste 658
Fort Worth, TX 76109-4987
Phone
(682) 597-3933
Fax
(817) 274-8443

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NPI record

NPI
1437368446
Entity type
Individual (Type 1)
Enumeration date
May 22, 2007
Last updated
March 7, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 32879 TX
Mental Health Counselor 101YM0800X 16553 TX
Counseling Psychologist 103TC1900X 32879 TX

Mailing address

2136 Cliff Park
Fort Worth, TX 76134-1016
Phone
(682) 597-3933
Fax
(817) 274-8443

About Dr. Balla

Ildiko Balla, PH.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 4200 S Hulen St Ste 658, Fort Worth, TX 76109-4987. The NPI number 1437368446 was assigned on May 22, 2007 and the record was last updated on March 7, 2012.

Dr. Balla lists 3 licenses in the registry: #32879 (TX) for Clinical Psychologist; #16553 (TX) for Mental Health Counselor; #32879 (TX) for Counseling Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ildiko Balla, PH.D.?

The NPI number is 1437368446.

What is the phone number of Dr. Balla?

The phone number listed for the practice location is (682) 597-3933.

Where is Dr. Balla located?

4200 S Hulen St Ste 658, Fort Worth, TX 76109-4987.

What is the taxonomy code for Dr. Balla?

The primary taxonomy code is 103TC0700X – Clinical Psychologist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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