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La'queion Ballard
Health Service Psychologist in Oklahoma City, Oklahoma
NPI 1588063085

La'queion Ballard is a Health Service Psychologist based in Oklahoma City, OK and is specialized in Health Service. La'queion Ballard practices in Oklahoma City, OK. The NPI Number for La'queion Ballard is 1588063085 and holds a License No. WO83188179 (Oklahoma).

The current practice location address for La'queion Ballard is 2221 Ne 24Th St, Oklahoma City, OK and can be reached out via phone at 405-921-9112. You can also correspond with La'queion Ballard through the mailing address at 2221 NE 24TH ST, OKLAHOMA CITY, OK - 73111-3421 (mailing address contact number: 405-921-9112).

Location: 2221 Ne 24Th St, Oklahoma City, OK, 73111-3421
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Provider Profile Details
NPI Number
1588063085
Provider Name
La'queion Ballard
Credential
Provider Entity Type
Individual
Gender
Female
Address
2221 Ne 24Th St, Oklahoma City, OK, 73111-3421
Phone Number
405-921-9112
Fax Number
Provider Enumeration Date
08/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2221 Ne 24Th St
City
State
Zip
73111-3421
Phone Number
405-921-9112
Fax Number
person
Provider Business Mailing Address Details
Address
2221 Ne 24Th St
City
State
Zip
73111-3421
Phone Number
405-921-9112
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
License No.
WO83188179 (Oklahoma)
Definition
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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