NPI age
12 years
Enumerated 2013-11-14
● Active
Type 1 · Individual
MS. Maynon Michelle Ballow, CLINICAL NUTRITION/B
Ballow is 1 of 7 psychologist providers in Dallas and 1 of 26 in Texas.
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-11-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 26 active psychologist providers in Texas.
NPI age
12 years
↑ 2 yr above median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 42% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-11Enumerated in NPPES
2013
2026
Where they practice
Practice location
4209 McKinney Avenue Suite 202-C
Dallas, TX 75207
Mailing address
4707 Purdue Avenue
Dallas, TX 75209
Specialties
-
Psychologist PrimaryA psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and...
-
Dietitian, RegisteredA registered dietitian who achieves specialized competency in metabolic nutrition.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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