Individual provider · Type 1 NPI
La'queion Ballard
Health Service Psychologist · Oklahoma City, OK
Practice location
2221 NE 24th St
Oklahoma City, OK 73111-3421
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | WO83188179 (OK) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1588063085
La'queion Ballard's National Provider Identifier is 1588063085, issued on Aug 20, 2014. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 20, 2014.