Individual
CANDICE BALLURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16521 13TH AVE W STE 210, LYNNWOOD, WA 98037-8511
(425) 243-2522
Mailing address
16232 BOTHELL EVERETT HWY # 1038, MILL CREEK, WA 98012-1520
(425) 243-2522
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60965267
WA
Other
Enumeration date
08/15/2013
Last updated
01/28/2025
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