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

Heather Petrillo Balog

Individual provider School Psychologist · NPI 1427634351

Heather Petrillo Balog is a School Psychologist in Santa Ana, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1715 E Wilshire Ave
Santa Ana, CA 92705-4644
Phone: (714) 245-6769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 4105 (CA)

Record details

NPI number1427634351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 22, 2021
Certification dateMarch 8, 2021

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