Provider Demographics
NPI:1023633690
Name:BALFOUR, ANNA MARIA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:BALFOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 S MAIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3640
Mailing Address - Country:US
Mailing Address - Phone:301-980-4846
Mailing Address - Fax:
Practice Address - Street 1:122 S MAIN ST STE 203
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3640
Practice Address - Country:US
Practice Address - Phone:301-980-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst