Individual
DR. NICOLE YVETTE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 947-9969
Mailing address
6799 SW WILSONVILLE RD, APT. 239, WILSONVILLE, OR 97070-5825
(315) 719-8735
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2202
OR
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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