Derique Ballard
Counselor, Mental Health in Westampton, New Jersey
1649890997- Practice location
- 770 Woodlane RD, Westampton, NJ 08060-3804
- Phone
- 609-267-5928
- Fax
- —
- Last updated
- April 16, 2020
Derique Ballard is a Counselor, Mental Health based in Westampton, NJ. Derique Ballard practices in Westampton, NJ. The NPI Number for Derique Ballard is 1649890997. The current practice location address for Derique Ballard is 770 Woodlane RD, Westampton, NJ 08060-3804 and can be reached out via phone at 609-267-5928.
Provider Profile Details
- NPI Number
- 1649890997
- Provider Name
- Derique Ballard
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 770 Woodlane RD, Westampton, NJ 08060-3804
- Phone Number
- 609-267-5928
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 16, 2020
- Last Update Date
- April 16, 2020
- Certification Date
- April 16, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 770 Woodlane RD
Westampton, NJ 08060-3804 - City
- Westampton
- State
- New Jersey
- Zip
- 08060-3804
- Phone Number
- 609-267-5928
Provider Business Mailing Address Details
- Address
- 770 Woodlane RD
Westampton, NJ 08060-3804 - City
- Westampton
- State
- NJ
- Zip
- 08060-3804
- Phone Number
- 609-267-5928
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Westampton, NJ
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- Abdul SmithCounselor, Mental Health · NPI 1982154084
- Abdulai ContehCounselor, Mental Health · NPI 1144051194
- Abdur-Raheim BraddoxCounselor, Mental Health · NPI 1548615735
- Abisola AbebefeCounselor, Mental Health · NPI 1598504110
Frequently Asked Questions
What is the NPI number of Derique Ballard?
The NPI number of Derique Ballard is 1649890997. It was assigned on April 16, 2020 and is currently active in the NPPES registry.
What is the specialty of Derique Ballard?
Derique Ballard is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Derique Ballard practice?
The practice location is 770 Woodlane RD, Westampton, NJ 08060-3804. The office can be reached at 609-267-5928 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649890997 directly on the NPPES registry website.