Individual
NOELLE ELIZABETH BALLIETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9600 VETERANS DRIVE, POC/A116, TACOMA, WA 98493
(253) 583-3571
Mailing address
9600 VETERANS DRIVE, POC/A116, TACOMA, WA 98493
(253) 583-3571
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OK
103TC0700X
Clinical Psychologist
Primary
PY60557088
WA
Other
Enumeration date
02/19/2010
Last updated
03/17/2018
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