Individual
ANNIE BALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 CANAL ST, NEW ORLEANS, LA 70112-2703
(504) 988-4272
Mailing address
1440 CANAL ST, NEW ORLEANS, LA 70112-2703
(504) 229-2452
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
332664
LA
Other
Enumeration date
03/24/2020
Last updated
10/14/2022
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