| Ballard Psychological Services Llc | |
|
2720 W 43rd St Suite 205 Minneapolis MN 55410-1643 | |
| (612) 239-8166 | |
| (952) 929-8432 |
| Full Name | Ballard Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 2720 W 43rd St, Minneapolis, Minnesota |
| Authorized Official Name and Position | Kristin Ballard (OWNER) |
| Authorized Official Contact | 6122398166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballard Psychological Services Llc 2720 W 43rd St Suite 205 Minneapolis MN 55410-1643 Ph: (612) 239-8166 | Ballard Psychological Services Llc 2720 W 43rd St Suite 205 Minneapolis MN 55410-1643 Ph: (612) 239-8166 |
| NPI Number | 1447651062 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447651062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | LP5288 (Minnesota) | Primary |
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