MEDICARE: DR. CHRISTINE ASHLEY BALLENGER PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	0810005807	VA
2	103TC0700X	Clinical Psychologist	1969	SC
3	103TC0700X	Clinical Psychologist	6977	NC

General Provider Information

NPI Number	:	1932129517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE ASHLEY BALLENGER PSY.D.

Provider Business Mailing Address
First Line	:	146 CARGILL WAY STE D
Second Line	:
City	:	HARTSVILLE
State	:	SC
Zip	:	29550-4260
Country	:	US
Telephone Number	:	276-243-9999
Fax Number	:	855-529-4516

Provider Business Practice Location Address
First Line	:	146 CARGILL WAY STE D
Second Line	:
City	:	HARTSVILLE
State	:	SC
Zip	:	29550-4260
Country	:	US
Telephone Number	:	276-243-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	02/28/2026

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