Doctor Name: | DR. VICTORIA J BALENGER |
NPI Number: | 1144389156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 657732 |
Business Practice Address: | 1485 Chain Bridge Rd Ste 203 Mclean, VA - 221014511 |
Business Phone Number: | 7039096806 |
Business Fax Number: | |
Mailing Address: | 9508 Page Ave, BETHESDA |
State: | MD |
Postal Code: | 208141736 |
Phone Number: | 3018970871 |
Fax Number: | 3014151226 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 657732 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |