Individual
MRS. RACHEL LYNNE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043921B
IN
390200000X
Student in an Organized Health Care Education/Training Program
PI028
NV
Other
Enumeration date
08/23/2021
Last updated
08/18/2026
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