Provider Demographics
NPI:1356697106
Name:BALLARD, ELIZABETH DAY (PHD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DAY
Last Name:BALLARD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 K ST NE
Mailing Address - Street 2:APT 603
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3381
Mailing Address - Country:US
Mailing Address - Phone:240-643-8718
Mailing Address - Fax:
Practice Address - Street 1:250 K ST NE
Practice Address - Street 2:APT 603
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3381
Practice Address - Country:US
Practice Address - Phone:240-643-8718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist