Organization
LAURI BALK PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI BALK PSYD (PRESIDENT)
(479) 443-5575
Entity
Organization
Contact information
Practice address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 443-5575
Mailing address
1 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703-1825
(479) 443-5575
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4-01P
AR
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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