Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Diana Ballard, PHD

Individual provider Pastoral Counselor · NPI 1114465564

Dr. Diana Ballard, PHD is a Pastoral Counselor in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

510 Travis Ave
Staten Island, NY 10314-6154
Phone: (917) 763-2476
Fax: (718) 370-3534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pastoral Counselor (primary) Taxonomy 101YP1600X · Licence BCCC#0557 (NY)

Record details

NPI number1114465564
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedFebruary 6, 2017
Last updated in NPPESApril 21, 2017

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