IndividualActive
Kristin Ballard, PH.D.
NPI 1366755597 · Clinical Child & Adolescent Psychologist · Edina, MN
Provider details
- NPI number
- 1366755597
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4005 W 65th St Ste 110
Edina, MN 55435-1700
Phone: (612) 239-8166
Approximate (ZIP-level) locationGet directions
Mailing address
4005 W 65th St Ste 110
Edina, MN 55435-1700
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2011-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.