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General NPI Number Information
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NPI Number | 1093624959
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Entity Type | Organization
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Legal Business Name | CHRISTINE A BALLENGER PSYD LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 146 CARGILL WAY STE D
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City | HARTSVILLE
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State | SC
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Zip | 29550-4260
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Country | US
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Telephone | 843-309-9206
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Fax | 855-529-4516
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Provider Business Mailing Address
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Address Line | 146 CARGILL WAY STE D
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City | HARTSVILLE
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State | SC
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Zip | 29550-4260
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Country | US
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Telephone | 843-309-9206
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Fax | 855-529-4516
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. CHRISTINE ASHLEY BALLENGER
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Credential | PSYD
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Telephone | 276-243-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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