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Organization
BALLARD PSYCHOLOGICAL SERVICES LLC
Active
Organization
BALLARD PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN BALLARD PHD LP (OWNER)
(612) 239-8166
Entity
Organization
Contact information
Practice address
2720 W 43RD ST, SUITE 205, MINNEAPOLIS, MN 55410-1643
(612) 239-8166
(952) 929-8432
Mailing address
2720 W 43RD ST, SUITE 205, MINNEAPOLIS, MN 55410-1643
(612) 239-8166
(952) 929-8432
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP5288
MN
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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