Individual
DR. KRISTIN L BALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4005 W 65TH ST STE 110, EDINA, MN 55435-1700
(612) 239-8166
Mailing address
4005 W 65TH ST STE 110, EDINA, MN 55435-1700
(612) 239-8166
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/16/2010
Last updated
02/07/2011
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