Individual provider · Type 1 NPI

Candice Balluru, PhD

Psychologist · Lynnwood, WA

NPI number 1700219508 Active

Practice location

16521 13th Ave W Ste 210
Lynnwood, WA 98037-8511

Mailing address

16232 Bothell Everett Hwy # 1038
Mill Creek, WA 98012-1520

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPY60965267 (WA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1700219508

Candice Balluru, PhD's National Provider Identifier is 1700219508, issued on Aug 15, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lynnwood, WA. The record was last updated on Jan 28, 2025.