Individual
JAMES MOSES BALLARD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
650 PENNSYLVANIA AVE SE, SUITE 440, WASHINGTON, DC 20003-4318
(202) 544-5440
(202) 544-3004
Mailing address
650 PENNSYLVANIA AVE SE, SUITE 440, WASHINGTON, DC 20003-4318
(202) 544-5440
(202) 544-3004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY354
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY354
STATE LICENSE
DC
Enumeration date
08/17/2006
Last updated
07/08/2007
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