Individual
DR. LAWRENCE B BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
100 N LOUIS J KOCH BLVD # 203, SANTA CLAUS, IN 47579-8540
(310) 951-3894
Mailing address
PO BOX 719, SANTA CLAUS, IN 47579-0719
(310) 951-3894
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042996A
IN
103TC0700X
Clinical Psychologist
PSY18983
CA
Other
Enumeration date
02/09/2006
Last updated
01/18/2019
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