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Shaniya Nicole Ballestero
Technician/Technologist in Dearborn, Michigan
NPI 1861118077

Shaniya Nicole Ballestero is a Technician/Technologist based in Dearborn, MI. Shaniya Nicole Ballestero practices in Dearborn, MI. The NPI Number for Shaniya Nicole Ballestero is 1861118077 and holds a License No. (Michigan).

The current practice location address for Shaniya Nicole Ballestero is 19853 Outer Dr Ste 110, Dearborn, MI and can be reached out via phone at 313-406-5056. You can also correspond with Shaniya Nicole Ballestero through the mailing address at 19853 OUTER DR STE 110, DEARBORN, MI - 48124-2044 (mailing address contact number: 313-622-4035).

Location: 19853 Outer Dr Ste 110, Dearborn, MI, 48124-2044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861118077
Provider Name
Shaniya Nicole Ballestero
Credential
Provider Entity Type
Individual
Gender
Female
Address
19853 Outer Dr Ste 110, Dearborn, MI, 48124-2044
Phone Number
313-406-5056
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19853 Outer Dr Ste 110
City
Dearborn
State
Michigan
Zip
48124-2044
Phone Number
313-406-5056
Fax Number
person
Provider Business Mailing Address Details
Address
19853 Outer Dr Ste 110
City
Dearborn
State
Michigan
Zip
48124-2044
Phone Number
313-406-5056
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
()
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
(Michigan)
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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