Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUTISSUA D BALLARD, PSYD
Active Sole ProprietorDR. LUTISSUA D BALLARD, PSYD is a Clinical Psychologist healthcare provider located in GREEN VALLEY, Arizona. NPI 1093135659 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GREEN VALLEY, AZ
Registration Details
- NPI Number
- 1093135659
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2014 (12.272016981294 yrs)
- Last Updated
- Aug 4, 2025
- Licenses
-
4480 (AZ)4480 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
210 W CONTINENTAL RD STE 229GREEN VALLEY, AZ, 856223596Browse AZ providers · Browse ZIP 85622
- Phone
- 5203291579
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.